Individual provider · Type 1 NPI
Brian David Cannon, PA-C
Medical Physician Assistant · Rochester, NY
NPI number
1689444754
Active
Practice location
1555 Long Pond Rd
Rochester, NY 14626-4164
Mailing address
6 Bent Oak Rd
Rochester, NY 14624-3902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 030852 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1689444754
Brian David Cannon, PA-C's National Provider Identifier is 1689444754, issued on Jan 8, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Rochester, NY. The record was last updated on Jan 8, 2024.