Healthcare Provider Details

I. General information

NPI: 1205890126
Provider Name (Legal Business Name): GEORGE PAUL ALBERT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2157 MAIN ST
BUFFALO NY
14214-2648
US

IV. Provider business mailing address

186 E PINELAKE CT
BUFFALO NY
14221-8328
US

V. Phone/Fax

Practice location:
  • Phone: 716-862-1683
  • Fax: 716-862-1092
Mailing address:
  • Phone: 716-862-1683
  • Fax: 716-862-1092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number189791
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number189791
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: