Individual
BRENDAN GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 491-8681
Mailing address
462 GRIDER ST, BUFFALO, NY 14215-3021
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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