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

Alice Iradukunda

Individual provider Physician Assistant · NPI 1245055854

Alice Iradukunda is a Physician Assistant in Buffalo, New York. Qualified in 2024, 2 years ago. Practices with Neighborhood Health Center of Wny, Inc, a 52-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

155 Lawn Ave
Buffalo, NY 14207-1816
Phone: (716) 875-2904
Fax: (716) 875-6717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)

Record details

NPI number1245055854
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 19, 2024
Last updated in NPPESNovember 19, 2024
Certification dateNovember 19, 2024
Mailing address155 Lawn Ave, Buffalo, NY 14207-1816

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Neighborhood Health Center Of Wny, Inc. — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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