Individual
BRIAN DAVID CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1555 LONG POND RD, ROCHESTER, NY 14626-4164
(585) 723-7000
Mailing address
6 BENT OAK RD, ROCHESTER, NY 14624-3902
(585) 746-4204
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
030852
NY
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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