Provider Demographics
NPI:1235833211
Name:SCHAFER, ALEXANDER RYAN (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:RYAN
Last Name:SCHAFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 FARMAN ST
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:NY
Mailing Address - Zip Code:14569-1306
Mailing Address - Country:US
Mailing Address - Phone:585-409-5650
Mailing Address - Fax:
Practice Address - Street 1:1285 MAIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-1961
Practice Address - Country:US
Practice Address - Phone:716-883-4517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program