National Provider Identifier

Grace Elizabeth Hennigan, PA-C

Grace Elizabeth Hennigan, PA-C is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Williamsville, NY and a listed phone number of (716) 839-8000.

NPI 1861374183Williamsville, NYFamily Medicine Physician

Profile Overview

NPI
1861374183
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
July 25, 2025
Last Updated
August 03, 2025

Practice Location

  • 30 N Union RD
  • Williamsville, NY 14221-5367

Phone: (716) 839-8000

Mailing Address

  • 3704 Woodhaven Cir
  • Hamburg, NY 14075-2260

Specialties

  • Family Medicine Physician (207Q00000X)
Full Record
NPI
1861374183
Entity Type
Individual
Last Name
Hennigan
First Name
Grace
Middle Name
Elizabeth
Credential
PA-C
Mailing Street Address
3704 Woodhaven Cir
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-2260
Mailing Country
US
Mailing Phone
(716) 989-8148
Practice Street Address
30 N Union RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5367
Practice Country
US
Practice Phone
(716) 839-8000
Enumeration Date
July 25, 2025
Last Updated
August 03, 2025
Sex
Female
Sole Proprietor
No
Certification Date
August 03, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X)