Individual
ALEXSANDRA PRAWAK-PASIEKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1320 WALDEN AVE, BUFFALO, NY 14211-2822
(716) 891-9444
(716) 891-9445
Mailing address
1320 WALDEN AVE, BUFFALO, NY 14211-2822
(716) 891-9444
(716) 891-9445
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
117792
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010141101
UNIVERA
NY
01
—
000506436001
BLUE CROSS OF WNY
NY
05
—
00632384
—
NY
Enumeration date
08/24/2006
Last updated
07/08/2007
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