Individual
ALEXIS K NIEDERMAIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
20 N MAIN STREET, ANDOVER, NY 14806
(607) 478-8421
Mailing address
191 N MAIN ST, WELLSVILLE, NY 14895-1150
(585) 593-1100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
345458
NY
363LF0000X
Family Nurse Practitioner
Primary
345458
NY
Other
Enumeration date
02/25/2020
Last updated
07/22/2023
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