Healthcare Provider Details

I. General information

NPI: 1922820281
Provider Name (Legal Business Name): HANNAH WOODRICH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 MAPLE RD STE 100
WILLIAMSVILLE NY
14221-4080
US

IV. Provider business mailing address

2350 MAPLE RD STE 100
WILLIAMSVILLE NY
14221-4080
US

V. Phone/Fax

Practice location:
  • Phone: 716-839-8000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: