Individual
CONNOR ESSENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3925 SHERIDAN DR, AMHERST, NY 14226-1738
(716) 250-9999
Mailing address
1721 EDDY DR, NORTH TONAWANDA, NY 14120-3085
(716) 909-0782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
028434
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2022
Last updated
06/30/2022
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