National Provider Identifier
Alicia Ann Supernault-Sarker, MD, MPH, FAAP
Alicia Ann Supernault-Sarker, MD, MPH, FAAP is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Buffalo, NY and a listed phone number of (716) 529-3020.
Profile Overview
- NPI
- 1275197386
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- April 24, 2019
- Last Updated
- July 02, 2024
Practice Location
- 1021 Broadway St
- Buffalo, NY 14212-1460
Phone: (716) 529-3020
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1275197386
- Entity Type
- Individual
- Last Name
- Supernault-Sarker
- First Name
- Alicia
- Middle Name
- Ann
- Credential
- MD, MPH, FAAP
- Mailing Street Address
- 1021 Broadway St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14212-1460
- Mailing Country
- US
- Mailing Phone
- (716) 529-3020
- Mailing Fax
- (716) 529-3040
- Practice Street Address
- 1021 Broadway St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1460
- Practice Country
- US
- Practice Phone
- (716) 529-3020
- Enumeration Date
- April 24, 2019
- Last Updated
- July 02, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 02, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)