Healthcare Provider Details

I. General information

NPI: 1174899504
Provider Name (Legal Business Name): AMIT KANDEL MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2012
Last Update Date: 03/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HIGH ST # E2 DEPARTMENT OF NEUROLOGY
BUFFALO NY
14203-1126
US

IV. Provider business mailing address

100 HIGH ST # E2 DEPARTMENT OF NEUROLOGY
BUFFALO NY
14203-1126
US

V. Phone/Fax

Practice location:
  • Phone: 716-859-7540
  • Fax: 716-859-2430
Mailing address:
  • Phone: 716-859-7540
  • Fax: 716-859-2430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084V0102X
TaxonomyVascular Neurology Physician
License Number003999
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: