National Provider Identifier
Connor Essenburg
Connor Essenburg is listed in the NPPES registry with a primary specialty of Physician Assistant in Amherst, NY and a listed phone number of (716) 250-9999.
Profile Overview
- NPI
- 1316684673
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 18, 2022
- Last Updated
- June 30, 2022
Practice Location
- 3925 Sheridan Dr
- Amherst, NY 14226-1738
Phone: (716) 250-9999
Mailing Address
- 1721 Eddy Dr
- North Tonawanda, NY 14120-3085
Specialties
- Physician Assistant (363A00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1316684673
- Entity Type
- Individual
- Last Name
- Essenburg
- First Name
- Connor
- Mailing Street Address
- 1721 Eddy Dr
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-3085
- Mailing Country
- US
- Mailing Phone
- (716) 909-0782
- Practice Street Address
- 3925 Sheridan Dr
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1738
- Practice Country
- US
- Practice Phone
- (716) 250-9999
- Enumeration Date
- May 18, 2022
- Last Updated
- June 30, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 2
- 193400000X Single Specialty Group
- Certification Date
- June 30, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)