National Provider Identifier
Dillon James Coughlin, PA-C
Dillon James Coughlin, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (585) 354-1094.
Profile Overview
- NPI
- 1518434877
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 25, 2018
- Last Updated
- December 17, 2021
Practice Location
- 30 N Union RD Ste 102
- Williamsville, NY 14221-5367
Phone: (585) 354-1094
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1518434877
- Entity Type
- Individual
- Last Name
- Coughlin
- First Name
- Dillon
- Middle Name
- James
- Name Prefix
- Mr.
- Credential
- PA-C
- Mailing Street Address
- 30 N Union RD Ste 102
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5367
- Mailing Country
- US
- Mailing Phone
- (716) 839-8000
- Practice Street Address
- 30 N Union RD Ste 102
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5367
- Practice Country
- US
- Practice Phone
- (585) 354-1094
- Enumeration Date
- October 25, 2018
- Last Updated
- December 17, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- December 17, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)