Alan M Antfleck Physician PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

237938 Issued in NY

Legal business name

ALAN M ANTFLECK PHYSICIAN PLLC

Practice address

3800 Delaware Ave
Suite 102
Kenmore, NY 14217-1094

Phone

(716) 551-1970

Fax

(716) 783-8557

NPI assigned

Aug 29, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alan Martin Antfleck, M.D.NPI 1154365559

Title

Owner

Phone

(716) 551-1970

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alan Martin Antfleck, M.D.

  • Internal Medicine Physician
  • Kenmore, NY
  • NPI 1154365559

  Internal Medicine, NY

  Medicare reassignment NPD Authorized official
• Emily Danielle Steenberg, NP

  • Women's Health Nurse Practitioner
  • Buffalo, NY
  • NPI 1558674242
  NPD (past)
• Diane J Sutter, MD

  • Gynecology Physician
  • Kenmore, NY
  • NPI 1447291703
  NPD (past)
• Stacie L Wier, NP

  • Women's Health Nurse Practitioner
  • Williamsville, NY
  • NPI 1841393055
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1366791998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 DELAWARE AVE",
            "address_2": "SUITE 102",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171094",
            "telephone_number": "716-551-1970",
            "fax_number": "716-783-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 DELAWARE AVE",
            "address_2": "SUITE 102",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171094",
            "telephone_number": "716-551-1970",
            "fax_number": "716-783-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN M ANTFLECK PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "ANTFLECK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-551-1970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "237938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advantage Dentistry
• Rachel Ahlbin, COTA
• Nagina Ahmadi, DC
• Zainab Al Bofradi
• Noor Al Habib
• Morgan Victoria Albiani, FNP
• Sandra Christine Aldridge, L.M.T.
• Chance Alexyn, OTR/L
• Irshad Ali, M.D.
• Anna Allaire, OTR/L

• All providers in Kenmore, NY
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.