Individual
PATRICK STEPHEN HANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 828-2464
Mailing address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 828-2464
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
460215
NY
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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