Individual
ALEXANDRA RIAN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
193 S UNION RD, WILLIAMSVILLE, NY 14221-6531
(609) 585-1122
(609) 585-0309
Mailing address
PO BOX 7411009, CHICAGO, IL 60674-3009
(609) 585-1122
(609) 585-0309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021343
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04925462
—
NY
Enumeration date
09/07/2017
Last updated
02/19/2026
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