National Provider Identifier
Conrad McMahon
Conrad McMahon is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Buffalo, NY and a listed phone number of (716) 859-1993.
Profile Overview
- NPI
- 1679062590
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- May 07, 2018
- Last Updated
- February 01, 2022
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 859-1993
Mailing Address
- 304 N McBride St Apt 2
- Syracuse, NY 13203-2364
Specialties
- Emergency Medicine Physician (207P00000X)
- Emergency Medicine Physician (207P00000X)
Full Record
- NPI
- 1679062590
- Entity Type
- Individual
- Last Name
- McMahon
- First Name
- Conrad
- Mailing Street Address
- 304 N McBride St Apt 2
- Mailing City
- Syracuse
- Mailing State
- NY
- Mailing ZIP Code
- 13203-2364
- Mailing Country
- US
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 859-1993
- Enumeration Date
- May 07, 2018
- Last Updated
- February 01, 2022
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Taxonomy Group 2
- 193400000X Single Specialty Group
- Certification Date
- February 01, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X), Emergency Medicine Physician (207P00000X)