Healthcare Provider Details

I. General information

NPI: 1689638462
Provider Name (Legal Business Name): ALEXANDER BORIS GELFER MD.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COLLEGE PARKWAY SUITE 110
WILLIAMSVILLE NY
14221
US

IV. Provider business mailing address

100 COLLEGE PARKWAY SUITE 110
WILLIAMSVILLE NY
14221
US

V. Phone/Fax

Practice location:
  • Phone: 716-631-8863
  • Fax: 716-631-1265
Mailing address:
  • Phone: 716-631-8863
  • Fax: 716-631-1265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number166540-2
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: