National Provider Identifier

Alicia Nicole Gayleen Drago, M.D.

Alicia Nicole Gayleen Drago, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Buffalo, NY and a listed phone number of (716) 323-2000.

NPI 1134865850Buffalo, NYPediatrics Physician

Profile Overview

NPI
1134865850
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
May 05, 2022
Last Updated
August 11, 2025

Practice Location

  • 818 Ellicott St.
  • Buffalo, NY 14203

Phone: (716) 323-2000

Mailing Address

  • 1001 Main St Fl 5
  • Buffalo, NY 14203-1009

Specialties

  • Pediatrics Physician (208000000X)
Full Record
NPI
1134865850
Entity Type
Individual
Last Name
Drago
First Name
Alicia
Middle Name
Nicole Gayleen
Name Prefix
MS.
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) 323-0225
Mailing Fax
(716) 323-0293
Practice Street Address
818 Ellicott St.
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203
Practice Country
US
Practice Phone
(716) 323-2000
Practice Fax
(716) 323-0292
Enumeration Date
May 05, 2022
Last Updated
August 11, 2025
Deactivation Date
December 13, 2022
Reactivation Date
February 17, 2023
Sex
Female
Sole Proprietor
No
Certification Date
August 11, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X)