National Provider Identifier
Hayley Gannon
Hayley Gannon is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 796-4574.
Profile Overview
- NPI
- 1518798339
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- August 13, 2024
- Last Updated
- October 14, 2024
Practice Location
- 818 Ellicott St
- Buffalo, NY 14203-1021
Phone: (716) 796-4574
Mailing Address
- 205 Pierce Ave
- Hamburg, NY 14075-6245
Specialties
- Physician Assistant (363A00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1518798339
- Entity Type
- Individual
- Last Name
- Gannon
- First Name
- Hayley
- Mailing Street Address
- 205 Pierce Ave
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-6245
- Mailing Country
- US
- Mailing Phone
- (716) 796-4574
- Practice Street Address
- 818 Ellicott St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1021
- Practice Country
- US
- Practice Phone
- (716) 796-4574
- Enumeration Date
- August 13, 2024
- Last Updated
- October 14, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 14, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Student in an Organized Health Care Education/Training Program (390200000X)