# ALDEN MEDICAL GROUP, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912931650
- **Authorized official:** YELLAMRAJU R KUMAR MD (PARTNER)
- **Authorized official phone:** (716) 937-3255

## Contact information

- **Practice address:** 12845 BROADWAY, ALDEN, NY 14004-1223
- **Practice address phone:** (716) 937-3255
- **Practice address fax:** (716) 204-7481
- **Mailing address:** 12845 BROADWAY, ALDEN, NY 14004-1223
- **Mailing address phone:** (716) 937-3255
- **Mailing address fax:** (716) 204-7481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NY | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | NY | Yes |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 06/25/2015