MEDICARE: DR. ALEXANDER Z SELIOUTSKI M.D.

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	207Q00000X	Family Medicine Physician	209688	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0110754	OTHER	NY	INDEPENDENT HEALTH
2	00020544403	OTHER	NY	UNIVERA
3	000525727007	OTHER	NY	BCBSWNY
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851360606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER Z SELIOUTSKI M.D.

Provider Business Mailing Address
First Line	:	95 E CHAUTAUQUA ST
Second Line	:	PO BOX 168
City	:	MAYVILLE
State	:	NY
Zip	:	14757-0168
Country	:	US
Telephone Number	:	716-753-7107
Fax Number	:	716-753-7980

Provider Business Practice Location Address
First Line	:	95 E CHAUTAUQUA ST
Second Line	:
City	:	MAYVILLE
State	:	NY
Zip	:	14757-0168
Country	:	US
Telephone Number	:	716-753-7107
Fax Number	:	716-753-7980

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

Provider Enumeration Date	:	03/15/2006
Last Update Date	:	02/29/2012

Similar Medicare Providers

1952384844 — RALPH GERALD WALTON M.D.
Practice Location Address:

95 EAST CHAUTAUQUA STREET
MAYVILLE, NY
14757-0168

Practice Phone: 716-753-7107
Practice Fax: 716-753-5367

1972572691 — ROY M SLEBODA RPA-C
Practice Location Address:

95 E CHAUTAUQUA ST.
MAYVILLE, NY
14757-0168

Practice Phone: 716-753-7107
Practice Fax: 716-753-7980

1346219656 — RODERIC T HUNT RPA-C
Practice Location Address:

95 E CHAUTAUQUA ST
MAYVILLE, NY
14757-0168

Practice Phone: 716-753-7107
Practice Fax: 716-753-7980

1851610950 — DR. JEREMY MARTIN RIEDESEL MD
Practice Location Address:

95 E CHAUTAUQUA ST
MAYVILLE, NY
14757-0168

Practice Phone: 716-753-7107
Practice Fax: 716-753-5367

1528345469 — SARAH ANN UEBELHOER PA-C
Practice Location Address:

95 EAST CHAUTAUQUA ST
MAYVILLE, NY
14757-0168

Practice Phone: 716-753-7107
Practice Fax: 716-753-5367

1144299827 — WENDY CHASE RPA-C
Practice Location Address:

95 E CHAUTAUQUA ST
MAYVILLE, NY
14757-1017

Practice Phone: 716-753-7107
Practice Fax: 716-753-7980

Directions to “ DR. ALEXANDER Z SELIOUTSKI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.