National Provider Identifier

Christopher Miranda

Christopher Miranda is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician in Buffalo, NY and a listed phone number of (716) 815-4415.

NPI 1629796222Buffalo, NYPhysical Medicine & Rehabilitation Physician

Profile Overview

NPI
1629796222
Provider Type
Individual
Primary Specialty
Physical Medicine & Rehabilitation Physician
Enumeration Date
August 19, 2022
Last Updated
August 19, 2022

Practice Location

  • 1585 Hertel Ave
  • Buffalo, NY 14216-2997

Phone: (716) 815-4415

Specialties

  • Physical Medicine & Rehabilitation Physician (208100000X)
Full Record
NPI
1629796222
Entity Type
Individual
Last Name
Miranda
First Name
Christopher
Mailing Street Address
1585 Hertel Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-2997
Mailing Country
US
Mailing Phone
(716) 815-4415
Practice Street Address
1585 Hertel Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14216-2997
Practice Country
US
Practice Phone
(716) 815-4415
Enumeration Date
August 19, 2022
Last Updated
August 19, 2022
Sex
Male
Sole Proprietor
No
Certification Date
August 13, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Medicine & Rehabilitation Physician (208100000X)