Individual
ALEXIS ENERINA GASIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 MAIN ST FL 4, BUFFALO, NY 14203-1009
(716) 323-0170
Mailing address
1001 MAIN ST FL 4, BUFFALO, NY 14203-1009
(716) 323-0170
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030082
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
NY
Enumeration date
01/13/2022
Last updated
08/14/2024
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