National Provider Identifier

Mary Patricia Canna, PA

Mary Patricia Canna, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 675-7000.

NPI 1952395956Orchard Park, NYPhysician Assistant

Profile Overview

NPI
1952395956
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 06, 2005
Last Updated
January 11, 2016

Practice Location

  • 3045 Southwestern Blvd
  • Suite 104
  • Orchard Park, NY 14127-1209

Phone: (716) 675-7000

Specialties

  • Physician Assistant (363A00000X)
  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1952395956
Entity Type
Individual
Last Name
Canna
First Name
Mary
Middle Name
Patricia
Name Prefix
Mrs.
Credential
PA
Mailing Street Address
3045 Southwestern Blvd
Mailing Address Line 2
Suite 104
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-1209
Mailing Country
US
Mailing Phone
(716) 675-7000
Mailing Fax
(716) 674-4630
Practice Street Address
3045 Southwestern Blvd
Practice Address Line 2
Suite 104
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1209
Practice Country
US
Practice Phone
(716) 675-7000
Practice Fax
(716) 674-4630
Enumeration Date
September 06, 2005
Last Updated
January 11, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)