National Provider Identifier
Connor Vanko, PA
Connor Vanko, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Lockport, NY and a listed phone number of (716) 419-0400.
Source: public NPPES record, last updated October 18, 2025. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1275011066
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- August 02, 2018
- Last Updated
- October 18, 2025
Practice Location
- 6001 Shimer Dr
- Lockport, NY 14094-6412
Phone: (716) 419-0400
Mailing Address
- 144 Genesee St
- Buffalo, NY 14203-1560
Specialties
- Surgical Physician Assistant (363AS0400X)
- Physical Therapist (225100000X)
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Full Record
- NPI
- 1275011066
- Entity Type
- Individual
- Last Name
- Vanko
- First Name
- Connor
- Credential
- PA
- Provider Other Last Name
- Vankouwenberg
- Provider Other First Name
- Connor
- Provider Other Credential Text
- PT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 144 Genesee St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1560
- Mailing Country
- US
- Mailing Phone
- (716) 204-1101
- Practice Street Address
- 6001 Shimer Dr
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-6412
- Practice Country
- US
- Practice Phone
- (716) 419-0400
- Enumeration Date
- August 02, 2018
- Last Updated
- October 18, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 18, 2025
- Taxonomies
- Surgical Physician Assistant (363AS0400X), Physical Therapist (225100000X)