National Provider Identifier

Caitlin Virginia Hackford

Caitlin Virginia Hackford is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 260-1593.

NPI 1144720947Orchard Park, NYPhysician Assistant

Profile Overview

NPI
1144720947
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
February 19, 2018
Last Updated
November 26, 2019

Practice Location

  • 5959 Big Tree RD
  • Orchard Park, NY 14127-2291

Phone: (716) 260-1593

Mailing Address

  • 2874 Kulp RD
  • Eden, NY 14057-9411

Specialties

  • Physician Assistant (363A00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1144720947
Entity Type
Individual
Last Name
Hackford
First Name
Caitlin
Middle Name
Virginia
Mailing Street Address
2874 Kulp RD
Mailing City
Eden
Mailing State
NY
Mailing ZIP Code
14057-9411
Mailing Country
US
Mailing Phone
(716) 479-5491
Practice Street Address
5959 Big Tree RD
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2291
Practice Country
US
Practice Phone
(716) 260-1593
Enumeration Date
February 19, 2018
Last Updated
November 26, 2019
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)