Healthcare Provider Details

I. General information

NPI: 1679714562
Provider Name (Legal Business Name): ALEXANDER N ESWAR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2009
Last Update Date: 04/09/2020
Certification Date: 04/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 INTERNATIONAL DR
WILLIAMSVILLE NY
14221-5771
US

IV. Provider business mailing address

400 INTERNATIONAL DR
WILLIAMSVILLE NY
14221-5771
US

V. Phone/Fax

Practice location:
  • Phone: 716-631-3555
  • Fax:
Mailing address:
  • Phone: 716-631-3555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number270007-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: