National Provider Identifier

Ryan James Mikac, D.O.

Ryan James Mikac, D.O. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Amherst, NY and a listed phone number of (716) 309-4772.

NPI 1346502689Amherst, NYFamily Medicine Physician

Profile Overview

NPI
1346502689
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
June 12, 2012
Last Updated
September 22, 2020

Practice Location

  • 3980A Sheridan Dr Ste 200
  • Amherst, NY 14226-1741

Phone: (716) 309-4772

Mailing Address

  • PO Box 488
  • Buffalo, NY 14240-0488

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1346502689
Entity Type
Individual
Last Name
Mikac
First Name
Ryan
Middle Name
James
Name Prefix
Dr.
Credential
D.O.
Mailing Street Address
PO Box 488
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14240-0488
Mailing Country
US
Mailing Phone
(866) 853-9551
Mailing Fax
(203) 916-1041
Practice Street Address
3980A Sheridan Dr Ste 200
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-1741
Practice Country
US
Practice Phone
(716) 309-4772
Practice Fax
(716) 427-6333
Enumeration Date
June 12, 2012
Last Updated
September 22, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
September 22, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)