NPI 1003133729

John Jacob Hannibal, MD

Practitioner Student in an Organized Health Care Education/Training Program Buffalo, NY

Practice location

Address: 462 Grider St, Buffalo, NY 14215-3021
Phone: (716) 898-4226
Fax: (716) 898-3279
Mailing address: 3348 Wallace Dr, Grand Island, NY 14072-1032

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in New York →

Registry record

NPI: 1003133729
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Apr 2010
Record last updated: 21 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.