Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexandra Derosa, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1861954679

Alexandra Derosa, MD is an Obstetrics/Gynecology in Buffalo, New York. Graduated from State University of New York at Buffalo School of Medicine in 2020, 6 years ago. Practices with General Physician PC, a 487-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NY
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1091 Main St
Buffalo, NY 14209-2305
Phone: (716) 656-4077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 333361 (NY)

Record details

NPI number1861954679
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024
Mailing addressPo Box 488, Buffalo, NY 14240-0488

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice General Physician Pc — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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