Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Conor Gallivan, PA

Individual provider Physician Assistant · NPI 1710485214

Mr. Conor Gallivan, PA is a Physician Assistant in Williamsville, New York. Qualified in 2017, 9 years ago. Practices with Buffalo Medical Group, PC, a 236-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

425 Essjay Rd Ste 180
Williamsville, NY 14221-5782
Phone: (716) 630-1140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1710485214
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 30, 2018
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Buffalo Medical Group, P.C. — 236 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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