Provider Demographics
NPI:1679139513
Name:ALAJKO, KIMBERLY SUSAN (MS ED)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:SUSAN
Last Name:ALAJKO
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:MS
Other - First Name:KIMBERLY
Other - Middle Name:SUSAN
Other - Last Name:SIRESI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS ED
Mailing Address - Street 1:2980 WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-1918
Mailing Address - Country:US
Mailing Address - Phone:716-892-2060
Mailing Address - Fax:
Practice Address - Street 1:2980 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14227-1918
Practice Address - Country:US
Practice Address - Phone:716-892-2060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist