National Provider Identifier
Brian David Cannon, PA-C
Brian David Cannon, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 723-7000.
Profile Overview
- NPI
- 1689444754
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- January 08, 2024
- Last Updated
- January 08, 2024
Practice Location
- 1555 Long Pond RD
- Rochester, NY 14626-4164
Phone: (585) 723-7000
Mailing Address
- 6 Bent Oak RD
- Rochester, NY 14624-3902
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1689444754
- Entity Type
- Individual
- Last Name
- Cannon
- First Name
- Brian
- Middle Name
- David
- Credential
- PA-C
- Mailing Street Address
- 6 Bent Oak RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14624-3902
- Mailing Country
- US
- Mailing Phone
- (585) 746-4204
- Practice Street Address
- 1555 Long Pond RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14626-4164
- Practice Country
- US
- Practice Phone
- (585) 723-7000
- Enumeration Date
- January 08, 2024
- Last Updated
- January 08, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 08, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)