Individual
ALEXANDRA WESLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY 14221-5269
(716) 836-4646
(716) 836-4696
Mailing address
199 PARK CLUB LN STE 300, WILLIAMSVILLE, NY 14221-5269
(716) 836-4646
(716) 836-4696
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
239912
NY
2085R0202X
Diagnostic Radiology Physician
D0076713
MD
2085R0202X
Diagnostic Radiology Physician
MD18358
ME
2085R0202X
Diagnostic Radiology Physician
MD431376
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02906370
—
NY
Enumeration date
03/29/2007
Last updated
12/17/2020
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