National Provider Identifier

Bryan Buchanan

Bryan Buchanan is listed in the NPPES registry with a primary specialty of Community Health Worker in Lackawanna, NY and a listed phone number of (716) 828-9699.

NPI 1740764695Lackawanna, NYCommunity Health Worker

Profile Overview

NPI
1740764695
Provider Type
Individual
Primary Specialty
Community Health Worker
Enumeration Date
September 17, 2018
Last Updated
September 17, 2018

Practice Location

  • 790 Ridge RD
  • Lackawanna, NY 14218-1629

Phone: (716) 828-9699

Specialties

  • Community Health Worker (172V00000X)
Full Record
NPI
1740764695
Entity Type
Individual
Last Name
Buchanan
First Name
Bryan
Mailing Street Address
790 Ridge RD
Mailing City
Lackawanna
Mailing State
NY
Mailing ZIP Code
14218-1629
Mailing Country
US
Mailing Phone
(716) 828-9699
Practice Street Address
790 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1629
Practice Country
US
Practice Phone
(716) 828-9699
Enumeration Date
September 17, 2018
Last Updated
September 17, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community Health Worker (172V00000X)