National Provider Identifier
Conor Gallivan, PA
Conor Gallivan, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 630-1140.
Profile Overview
- NPI
- 1710485214
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 30, 2018
- Last Updated
- December 13, 2021
Practice Location
- 425 Essjay RD Ste 180
- Williamsville, NY 14221-5782
Phone: (716) 630-1140
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Physician Assistant (363A00000X)
Endpoints
- production@direct.buffalomedicalgroup.com
Direct Messaging Address | Buffalo Medical Group, P.C. | Williamsville, NY 14221
Full Record
- NPI
- 1710485214
- Entity Type
- Individual
- Last Name
- Gallivan
- First Name
- Conor
- Name Prefix
- Mr.
- Credential
- PA
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Practice Street Address
- 425 Essjay RD Ste 180
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5782
- Practice Country
- US
- Practice Phone
- (716) 630-1140
- Enumeration Date
- January 30, 2018
- Last Updated
- December 13, 2021
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 13, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)