National Provider Identifier

Jordan Birner, PA

Jordan Birner, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Hamburg, NY and a listed phone number of (716) 646-5500.

NPI 1972224400Hamburg, NYPhysician Assistant

Profile Overview

NPI
1972224400
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 02, 2022
Last Updated
March 12, 2025

Practice Location

  • 5844 Southwestern Blvd Ste 500
  • Hamburg, NY 14075-3685

Phone: (716) 646-5500

Mailing Address

  • 1715 Main RD
  • Silver Creek, NY 14136-9743

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1972224400
Entity Type
Individual
Last Name
Birner
First Name
Jordan
Credential
PA
Mailing Street Address
1715 Main RD
Mailing City
Silver Creek
Mailing State
NY
Mailing ZIP Code
14136-9743
Mailing Country
US
Mailing Phone
(716) 785-8626
Practice Street Address
5844 Southwestern Blvd Ste 500
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-3685
Practice Country
US
Practice Phone
(716) 646-5500
Enumeration Date
September 02, 2022
Last Updated
March 12, 2025
Sex
Female
Sole Proprietor
No
Certification Date
March 12, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)