National Provider Identifier
Alicia Mandujano, M.D.
Alicia Mandujano, M.D. is listed in the NPPES registry with a primary specialty of Maternal & Fetal Medicine Physician in Buffalo, NY and a listed phone number of (716) 636-8284.
Profile Overview
- NPI
- 1114106119
- Provider Type
- Individual
- Primary Specialty
- Maternal & Fetal Medicine Physician
- Enumeration Date
- October 26, 2007
- Last Updated
- November 30, 2022
Practice Location
- 1001 Main St Fl 5
- Buffalo, NY 14203-1009
Phone: (716) 636-8284
Specialties
- Maternal & Fetal Medicine Physician (207VM0101X)
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1114106119
- Entity Type
- Individual
- Last Name
- Mandujano
- First Name
- Alicia
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 1001 Main St Fl 5
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1009
- Mailing Country
- US
- Mailing Phone
- (716) 636-8284
- Practice Street Address
- 1001 Main St Fl 5
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1009
- Practice Country
- US
- Practice Phone
- (716) 636-8284
- Enumeration Date
- October 26, 2007
- Last Updated
- November 30, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 22, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Maternal & Fetal Medicine Physician (207VM0101X), Obstetrics & Gynecology Physician (207V00000X)