National Provider Identifier

Albert J Addesa Jr., MD

Albert J Addesa Jr., MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Lancaster, NY and a listed phone number of (716) 683-5252.

NPI 1609804368Lancaster, NYFamily Medicine Physician

Profile Overview

NPI
1609804368
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
June 29, 2006
Last Updated
July 08, 2007

Practice Location

  • 5532 Broadway St
  • Lancaster, NY 14086-2224

Phone: (716) 683-5252

Mailing Address

  • 1616 Kensington Ave
  • Buffalo, NY 14215-1433

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1609804368
Entity Type
Individual
Last Name
Addesa
First Name
Albert
Middle Name
J
Name Prefix
Dr.
Name Suffix
Jr.
Credential
MD
Mailing Street Address
1616 Kensington Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-1433
Mailing Country
US
Mailing Phone
(716) 835-3097
Mailing Fax
(716) 837-4654
Practice Street Address
5532 Broadway St
Practice City
Lancaster
Practice State
NY
Practice ZIP Code
14086-2224
Practice Country
US
Practice Phone
(716) 683-5252
Practice Fax
(716) 683-6885
Enumeration Date
June 29, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)
Other Identifiers
00725315 (NY)