Individual
GRACE ELIZABETH HENNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
30 N UNION RD, WILLIAMSVILLE, NY 14221-5367
(716) 839-8000
Mailing address
3704 WOODHAVEN CIR, HAMBURG, NY 14075-2260
(716) 989-8148
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
034009
NY
Other
Enumeration date
07/25/2025
Last updated
08/03/2025
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