National Provider Identifier
Alice Iradukunda
Alice Iradukunda is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 875-2904.
Profile Overview
- NPI
- 1245055854
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 19, 2024
- Last Updated
- November 19, 2024
Practice Location
- 155 Lawn Ave
- Buffalo, NY 14207-1816
Phone: (716) 875-2904
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1245055854
- Entity Type
- Individual
- Last Name
- Iradukunda
- First Name
- Alice
- Mailing Street Address
- 155 Lawn Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-1816
- Mailing Country
- US
- Mailing Phone
- (716) 875-2904
- Mailing Fax
- (716) 875-6717
- Practice Street Address
- 155 Lawn Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-1816
- Practice Country
- US
- Practice Phone
- (716) 875-2904
- Practice Fax
- (716) 875-6717
- Enumeration Date
- November 19, 2024
- Last Updated
- November 19, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 19, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)