Individual
COURTNEY HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
36 N UNION RD, WILLIAMSVILLE, NY 14221-5383
(716) 710-7807
(716) 710-7808
Mailing address
726 EXCHANGE ST STE 710, BUFFALO, NY 14210-1464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
10/12/2023
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