Healthcare Provider Details

I. General information

NPI: 1861055774
Provider Name (Legal Business Name): ALEXANDER JAMES MACFARLANE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 10/04/2025
Certification Date: 10/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

192 PARK CLUB LN STE 100
WILLIAMSVILLE NY
14221-5270
US

IV. Provider business mailing address

192 PARK CLUB LN STE 100
WILLIAMSVILLE NY
14221-5270
US

V. Phone/Fax

Practice location:
  • Phone: 716-204-1101
  • Fax:
Mailing address:
  • Phone: 716-204-1101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number335971
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: