Individual
ALFREDO KUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2699 WEHRLE DR, WILLIAMSVILLE, NY 14221-7332
(716) 632-3700
Mailing address
PO BOX 1848, BUFFALO, NY 14240-1848
(716) 923-4385
(716) 246-4433
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
205990
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010313402
UNIVERA
NY
01
—
000524962005
BC/BS
NY
05
—
01592910
—
NY
01
—
040511000329
FIDELIS
NY
01
—
0409868
IHA
NY
01
—
150966BJ
PREFERRED CARE
NY
Enumeration date
11/17/2005
Last updated
09/01/2017
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