National Provider Identifier
Bernard A Logan Jr., PA
Bernard A Logan Jr., PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Canandaigua, NY and a listed phone number of (585) 396-6000.
Profile Overview
- NPI
- 1396893400
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- January 08, 2007
- Last Updated
- July 08, 2007
Practice Location
- 350 Parrish St
- Canandaigua, NY 14424-1731
Phone: (585) 396-6000
Mailing Address
- 3103 Lake To Lake RD
- Stanley, NY 14561-9757
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1396893400
- Entity Type
- Individual
- Last Name
- Logan
- First Name
- Bernard
- Middle Name
- A
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- PA
- Mailing Street Address
- 3103 Lake To Lake RD
- Mailing City
- Stanley
- Mailing State
- NY
- Mailing ZIP Code
- 14561-9757
- Mailing Country
- US
- Mailing Phone
- (585) 727-3656
- Practice Street Address
- 350 Parrish St
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1731
- Practice Country
- US
- Practice Phone
- (585) 396-6000
- Enumeration Date
- January 08, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)