Individual
DR. ALBERT J ADDESA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5532 BROADWAY ST, LANCASTER, NY 14086-2224
(716) 683-5252
(716) 683-6885
Mailing address
1616 KENSINGTON AVE, BUFFALO, NY 14215-1433
(716) 835-3097
(716) 837-4654
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
144992
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00725315
—
NY
Enumeration date
06/29/2006
Last updated
07/08/2007
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