Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alfonso Tan III, MD

Individual provider Psychiatry Physician · NPI 1134296171

Dr. Alfonso Tan III, MD is a Psychiatry in Buffalo, New York. Qualified in 1989, 37 years ago. Practices with Kaleida Health, a 214-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
37
Licensed in
NY
In the registry since
2006
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

462 Grider St 11th Fl
Buffalo, NY 14215-3021
Phone: (716) 835-1246
Fax: (716) 835-0396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 217872 (NY)

Record details

NPI number1134296171
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 28, 2006
Last updated in NPPESFebruary 14, 2011

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Kaleida Health — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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