Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 216384 | NY |
N | 111NI0900X | Internist | 216384 | NY |
Y | 207RA0401X | Internist - Addiction Medicine | 216384 | NY |
NPI | 1285864637 |
---|---|
Provider Name | Dr. Darren A Alicandri |
First Address | Amherst, NY 14226 |
Second Address | Buffalo, NY 14215-3021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2009 |
Last Update Date | 10/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02420386 | (05) | NY |
13689341 | CAQH (01) |