DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ALEXANDRA BETH WIEDE PA

MEDICARE: ALEXANDRA BETH WIEDE PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant026587NY

General Provider Information

NPI Number : 1427630169
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA BETH WIEDE PA
Provider Business Mailing Address
First Line : PO BOX 7411009
Second Line :
City : CHICAGO
State : IL
Zip : 60674-3009
Country : US
Telephone Number : 609-585-1122
Fax Number : 609-585-0309
Provider Business Practice Location Address
First Line : 193 S UNION RD
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-6531
Country : US
Telephone Number : 609-585-1122
Fax Number : 609-585-0309
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2021
Last Update Date : 04/14/2026

Similar Medicare Providers

1790472462 — KATLYN MICHELE BEIRING FNP-BC
Practice Location Address:
193 S UNION RD
WILLIAMSVILLE, NY
14221-6531
Practice Phone: 609-585-1122
Practice Fax: 609-585-0309
1447357157 — WILLIAMSVILLE SUBURBAN, LLC
Practice Location Address:
193 S UNION RD
WILLIAMSVILLE, NY
14221-6531
Practice Phone: 716-633-2961
Practice Fax:
1639315211 — STEPHEN TOFANO ANZALONE COTA
Practice Location Address:
193 S UNION RD
WILLIAMSVILLE, NY
14221-6531
Practice Phone: 716-213-7500
Practice Fax:
1972733632 — SARAH PATRICIA AYERS P.A.
Practice Location Address:
193 S UNION RD
WILLIAMSVILLE, NY
14221-6531
Practice Phone: 609-585-1122
Practice Fax: 609-585-0309
1346768652 — ALEXANDRA RIAN PETERS PA-C
Practice Location Address:
193 S UNION RD
WILLIAMSVILLE, NY
14221-6531
Practice Phone: 609-585-1122
Practice Fax: 609-585-0309
1891288650 — AALIA JEELANI KHAN MD
Practice Location Address:
193 S UNION RD
WILLIAMSVILLE, NY
14221-6531
Practice Phone: 609-585-1122
Practice Fax: 609-585-0309

Directions to “ ALEXANDRA BETH WIEDE PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.