National Provider Identifier
Alexa Rose Reardon, MD
Alexa Rose Reardon, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 829-6921.
Profile Overview
- NPI
- 1962206235
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 03, 2025
- Last Updated
- April 03, 2025
Practice Location
- 77 Goodell St Ste 310
- Buffalo, NY 14203-1243
Phone: (716) 829-6921
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1962206235
- Entity Type
- Individual
- Last Name
- Reardon
- First Name
- Alexa
- Middle Name
- Rose
- Credential
- MD
- Mailing Street Address
- 77 Goodell St Ste 310
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1243
- Mailing Country
- US
- Mailing Phone
- (716) 829-6921
- Mailing Fax
- (716) 849-5620
- Practice Street Address
- 77 Goodell St Ste 310
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1243
- Practice Country
- US
- Practice Phone
- (716) 829-6921
- Practice Fax
- (716) 849-5620
- Enumeration Date
- April 03, 2025
- Last Updated
- April 03, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 01, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)