National Provider Identifier

Michael M Brogan, PA

Michael M Brogan, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Cheektowaga, NY and a listed phone number of (716) 855-5600.

NPI 1467730101Cheektowaga, NYPhysician Assistant

Profile Overview

NPI
1467730101
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 29, 2011
Last Updated
January 31, 2020

Practice Location

  • 3085 Harlem RD Ste 200
  • Cheektowaga, NY 14225-2591

Phone: (716) 855-5600

Mailing Address

  • 3085 Harlem RD Ste 350
  • Cheektowaga, NY 14225-2591

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1467730101
Entity Type
Individual
Last Name
Brogan
First Name
Michael
Middle Name
M
Credential
PA
Mailing Street Address
3085 Harlem RD Ste 350
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-2591
Mailing Country
US
Mailing Phone
(716) 844-5600
Mailing Fax
(716) 844-5750
Practice Street Address
3085 Harlem RD Ste 200
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-2591
Practice Country
US
Practice Phone
(716) 855-5600
Practice Fax
(716) 844-5750
Enumeration Date
July 29, 2011
Last Updated
January 31, 2020
Sex
Male
Sole Proprietor
No
Certification Date
January 31, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)