Healthcare Provider Details

I. General information

NPI: 1588956247
Provider Name (Legal Business Name): ALEXANDRA ALMANZAR MOREL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2011
Last Update Date: 08/22/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CEDAR ST
MILFORD MA
01757-1101
US

IV. Provider business mailing address

300 TWO MILE CREEK RD
TONAWANDA NY
14150-6618
US

V. Phone/Fax

Practice location:
  • Phone: 508-634-3100
  • Fax: 508-453-8233
Mailing address:
  • Phone: 716-447-6450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number258402
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: