Provider Demographics
NPI:1538620778
Name:MARTINAJ, ALEXANDRA DONI (DC)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:DONI
Last Name:MARTINAJ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:DONI
Other - Last Name:BROTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:711 BORDEN RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-3232
Mailing Address - Country:US
Mailing Address - Phone:703-668-8108
Mailing Address - Fax:
Practice Address - Street 1:468 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202
Practice Address - Country:US
Practice Address - Phone:716-847-1200
Practice Address - Fax:716-847-1212
Is Sole Proprietor?:No
Enumeration Date:2019-03-29
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013187-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX013187-1OtherSTATE LICENSE