{
"Npi": {
"NPI": "1942070354",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MIR",
"FirstName": "AMRIT",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DR",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MIR",
"OtherFirstName": "AMRIT",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "BDS, M.S",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "8877 GREINER RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CLARENCE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14031-1102",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "518-488-7487",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3435 MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BUFFALO",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14214-3099",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "716-829-3332",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/05/2024",
"LastUpdateDate": "01/05/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}