Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 312349 | NY |
Y | 111NI0900X | Internist | 312349 | NY |
NPI | 1003312455 |
---|---|
Provider Name | Ahmad Mafi |
First Address | Buffalo, NY 14240-0488 |
Second Address | Amherst, NY 14226-1741 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2018 |
Last Update Date | 28/09/2021 |