National Provider Identifier

Mitchell Fiorella-Crandall

Mitchell Fiorella-Crandall is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 645-9707.

NPI 1093565814Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1093565814
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 25, 2024
Last Updated
March 25, 2024

Practice Location

  • 77 Goodell St Ste 340
  • Buffalo, NY 14203-1243

Phone: (716) 645-9707

Mailing Address

  • 114 Bonnett Ave
  • Tonawanda, NY 14150-6846

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1093565814
Entity Type
Individual
Last Name
Fiorella-Crandall
First Name
Mitchell
Mailing Street Address
114 Bonnett Ave
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-6846
Mailing Country
US
Mailing Phone
(716) 984-8589
Practice Street Address
77 Goodell St Ste 340
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1243
Practice Country
US
Practice Phone
(716) 645-9707
Enumeration Date
March 25, 2024
Last Updated
March 25, 2024
Sex
Male
Sole Proprietor
No
Certification Date
March 25, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)