Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Autumn Mirjafari, MD

Individual provider Pediatrics Physician · NPI 1144325622

Nicole Autumn Mirjafari, MD is a Pediatrics Physician in Liverpool, New York. Practices as a sole proprietor. Licensed in Florida, New York, Oklahoma and Texas.

Licensed in
FL, NY, OK, TX
In the registry since
2006
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5100 W Taft Rd Ste 1B
Liverpool, NY 13088-3808
Phone: (239) 343-9888
Fax: (239) 303-0714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME138382 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 324770 (NY)
Pediatrics Physician Taxonomy 208000000X · Licence Q0568 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence 24093 (OK)

Record details

NPI number1144325622
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 13, 2006
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024

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