National Provider Identifier

Alexandra Evans Waclawski, PA

Alexandra Evans Waclawski, PA is listed in the NPPES registry with a primary specialty of Dermatology Physician in Jamestown, NY and a listed phone number of (716) 484-4334.

NPI 1700307246Jamestown, NYDermatology Physician

Profile Overview

NPI
1700307246
Provider Type
Individual
Primary Specialty
Dermatology Physician
Enumeration Date
July 06, 2017
Last Updated
January 06, 2026

Practice Location

  • 107 Institute St
  • Jamestown, NY 14701-6628

Phone: (716) 484-4334

Specialties

  • Dermatology Physician (207N00000X)

Endpoints

  • alexander.waclawski.1@22211.direct.athenahealth.com

    Direct Messaging Address | Direct | Jamestown, NY 14701

Full Record
NPI
1700307246
Entity Type
Individual
Last Name
Waclawski
First Name
Alexandra
Middle Name
Evans
Credential
PA
Provider Other Last Name
Evans
Provider Other First Name
Alexandra
Provider Other Middle Name
Mary
Provider Other Last Name Type Code
1
Mailing Street Address
107 Institute St
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-6628
Mailing Country
US
Mailing Phone
(716) 373-8870
Mailing Fax
(716) 373-8871
Practice Street Address
107 Institute St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-6628
Practice Country
US
Practice Phone
(716) 484-4334
Enumeration Date
July 06, 2017
Last Updated
January 06, 2026
Sex
Female
Sole Proprietor
No
Certification Date
January 06, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Dermatology Physician (207N00000X)