Provider Demographics
NPI:1073589008
Name:MCALEVEY, JOHN B (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:B
Last Name:MCALEVEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 389
Mailing Address - Street 2:
Mailing Address - City:COLLINS
Mailing Address - State:NY
Mailing Address - Zip Code:14034-0389
Mailing Address - Country:US
Mailing Address - Phone:716-532-2231
Mailing Address - Fax:716-532-2200
Practice Address - Street 1:1438 TAYLOR HOLLOW ROAD
Practice Address - Street 2:
Practice Address - City:GOWANDA
Practice Address - State:NY
Practice Address - Zip Code:14070
Practice Address - Country:US
Practice Address - Phone:716-532-2231
Practice Address - Fax:716-532-2200
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2180312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02087929Medicaid
NYCC1875Medicare PIN