National Provider Identifier
Brendan Gavin, PA-C
Brendan Gavin, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 491-8681.
Profile Overview
- NPI
- 1063249365
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 19, 2024
- Last Updated
- September 19, 2024
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 491-8681
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1063249365
- Entity Type
- Individual
- Last Name
- Gavin
- First Name
- Brendan
- Credential
- PA-C
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 491-8681
- Enumeration Date
- September 19, 2024
- Last Updated
- September 19, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- September 17, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)