National Provider Identifier
Courtney Hannon, PA-C
Courtney Hannon, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 710-7807.
Profile Overview
- NPI
- 1013613744
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 03, 2023
- Last Updated
- October 12, 2023
Practice Location
- 36 N Union RD
- Williamsville, NY 14221-5383
Phone: (716) 710-7807
Mailing Address
- 726 Exchange St Ste 710
- Buffalo, NY 14210-1464
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1013613744
- Entity Type
- Individual
- Last Name
- Hannon
- First Name
- Courtney
- Credential
- PA-C
- Mailing Street Address
- 726 Exchange St Ste 710
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14210-1464
- Mailing Country
- US
- Practice Street Address
- 36 N Union RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5383
- Practice Country
- US
- Practice Phone
- (716) 710-7807
- Practice Fax
- (716) 710-7808
- Enumeration Date
- February 03, 2023
- Last Updated
- October 12, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 12, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)