National Provider Identifier

Conor Vincent Gollegly

Conor Vincent Gollegly is listed in the NPPES registry with a primary specialty of Counselor in Tonawanda, NY and a listed phone number of (716) 831-1850.

NPI 1134899511Tonawanda, NYCounselor

Profile Overview

NPI
1134899511
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
September 16, 2021
Last Updated
September 21, 2021

Practice Location

  • 37 Niagara St
  • Tonawanda, NY 14150-1105

Phone: (716) 831-1850

Mailing Address

  • 55 Dodge RD
  • Getzville, NY 14068-1205

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1134899511
Entity Type
Individual
Last Name
Gollegly
First Name
Conor
Middle Name
Vincent
Mailing Street Address
55 Dodge RD
Mailing City
Getzville
Mailing State
NY
Mailing ZIP Code
14068-1205
Mailing Country
US
Mailing Phone
(716) 831-2700
Practice Street Address
37 Niagara St
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-1105
Practice Country
US
Practice Phone
(716) 831-1850
Enumeration Date
September 16, 2021
Last Updated
September 21, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
September 21, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)