Individual provider · Type 1 NPI

Mary F. Gannon, PA

Medical Physician Assistant · Buffalo, NY

NPI number 1225014541 Active

Practice location

Elm And Carlton St
Buffalo, NY 14263-0001

Fax (716) 845-8818

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X008638-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1225014541

Mary F. Gannon, PA's National Provider Identifier is 1225014541, issued on Dec 19, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Buffalo, NY. The record was last updated on Oct 25, 2013.