Healthcare Provider Details

I. General information

NPI: 1376961383
Provider Name (Legal Business Name): ALEXANDER JOHN LANGLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2014
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 GENESEE ST STE 203
AUBURN NY
13021-3498
US

IV. Provider business mailing address

161 GENESEE ST STE 203
AUBURN NY
13021-3498
US

V. Phone/Fax

Practice location:
  • Phone: 315-255-0947
  • Fax: 315-255-0942
Mailing address:
  • Phone: 315-255-0947
  • Fax: 315-255-0942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number288231
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: