National Provider Identifier
Mary F Gannon, PA
Mary F Gannon, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 845-2300.
Profile Overview
- NPI
- 1225014541
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- December 19, 2005
- Last Updated
- October 25, 2013
Practice Location
- Elm And Carlton St
- Buffalo, NY 14263-0001
Phone: (716) 845-2300
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1225014541
- Entity Type
- Individual
- Last Name
- Gannon
- First Name
- Mary
- Middle Name
- F
- Credential
- PA
- Mailing Street Address
- Elm And Carlton St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14263-0001
- Mailing Country
- US
- Mailing Phone
- (716) 845-2300
- Mailing Fax
- (716) 845-8818
- Practice Street Address
- Elm And Carlton St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14263-0001
- Practice Country
- US
- Practice Phone
- (716) 845-2300
- Practice Fax
- (716) 845-8818
- Enumeration Date
- December 19, 2005
- Last Updated
- October 25, 2013
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)