Provider Demographics
NPI:1225684558
Name:MCGANN, ALEX CHRISTOPHER (RN)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:CHRISTOPHER
Last Name:MCGANN
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 E AND WEST RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3931
Mailing Address - Country:US
Mailing Address - Phone:504-202-7117
Mailing Address - Fax:
Practice Address - Street 1:475 E AND WEST RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3931
Practice Address - Country:US
Practice Address - Phone:504-202-7117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY745449163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse