National Provider Identifier
Nirvana Ahmic, PA
Nirvana Ahmic, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-4006.
Profile Overview
- NPI
- 1386071413
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- October 03, 2013
- Last Updated
- November 24, 2014
Practice Location
- 1425 Portland Ave
- Box 4500
- Rochester, NY 14621-3001
Phone: (585) 922-4006
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1386071413
- Entity Type
- Individual
- Last Name
- Ahmic
- First Name
- Nirvana
- Credential
- PA
- Mailing Street Address
- 1425 Portland Ave
- Mailing Address Line 2
- Box 4500
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-3001
- Mailing Country
- US
- Mailing Phone
- (585) 922-4006
- Mailing Fax
- (585) 922-2951
- Practice Street Address
- 1425 Portland Ave
- Practice Address Line 2
- Box 4500
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 922-4006
- Practice Fax
- (585) 922-2951
- Enumeration Date
- October 03, 2013
- Last Updated
- November 24, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)
- Other Identifiers
- 017024 (NY, License)