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:
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Other - Credentials:
Mailing Address - Street 1:1661 MAIN ST APT 507
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-1339
Mailing Address - Country:US
Mailing Address - Phone:504-202-7117
Mailing Address - Fax:716-219-2311
Practice Address - Street 1:1661 MAIN ST APT 507
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-1339
Practice Address - Country:US
Practice Address - Phone:504-202-7117
Practice Address - Fax:716-219-2311
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY745449163W00000X, 163WA0400X, 163WI0500X, 163WP0809X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult