National Provider Identifier
Mina Ishak, M.D.
Mina Ishak, M.D. 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) 831-8612.
Profile Overview
- NPI
- 1962197509
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 10, 2023
- Last Updated
- October 12, 2023
Practice Location
- 462 Grider Street
- Buffalo, NY 14215
Phone: (716) 831-8612
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1962197509
- Entity Type
- Individual
- Last Name
- Ishak
- First Name
- Mina
- Credential
- M.D.
- Mailing Street Address
- 462 Grider Street
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215
- Mailing Country
- US
- Mailing Phone
- (716) 831-8612
- Mailing Fax
- (716) 898-5719
- Practice Street Address
- 462 Grider Street
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215
- Practice Country
- US
- Practice Phone
- (716) 831-8612
- Practice Fax
- (716) 898-5719
- Enumeration Date
- April 10, 2023
- Last Updated
- October 12, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 10, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)