MEDICARE: ALEXIS GAISER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WP0200X	Pediatric Registered Nurse	820323	NY

General Provider Information

NPI Number	:	1265365811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS GAISER

Provider Business Mailing Address
First Line	:	4842 BATAVIA BETHANY TOWNL RD
Second Line	:
City	:	BATAVIA
State	:	NY
Zip	:	14020-9744
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	301 NORTH ST
Second Line	:
City	:	BATAVIA
State	:	NY
Zip	:	14020-1654
Country	:	US
Telephone Number	:	585-483-3081
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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Directions to “ ALEXIS GAISER ” Practice Location

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