Provider Demographics
NPI:1689638462
Name:GELFER, ALEXANDER BORIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:BORIS
Last Name:GELFER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 COLLEGE PARKWAY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-631-8863
Mailing Address - Fax:716-631-1265
Practice Address - Street 1:100 COLLEGE PARKWAY
Practice Address - Street 2:SUITE 110
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-631-8863
Practice Address - Fax:716-631-1265
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY166540-2207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01083825Medicaid
NY01083825Medicaid
NYC58535Medicare UPIN