Brenda R Van Fossen in Ellicottville - Pediatrics

Brenda R Van Fossen - NPI 1073522587

Brenda R Van Fossen is a Pediatrics in Ellicottville, New York. Brenda R Van Fossen practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Brenda R Van Fossen is 1073522587. The last update date is 2018-03-22.

Brenda R Van Fossen's current location address is Po Box 500, Ellicottville, New York. You can contact this provider via phone number 7166999032 and fax number 7166999035. The mailing address for Brenda R Van Fossen is Po Box 500, Ellicottville, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Brenda R Van Fossen
Address Po Box 500, Ellicottville, New York
Phone Number 7166999032
Fax Number 7166999035
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1073522587
Provider Enumeration Date 2006-08-05
Last Updated Date 2018-03-22

Provider Mailing Address Detail

Address Po Box 500
City Ellicottville
State New York (NY)
Post Code 147310500
Phone Number 7166999032
Fax Number 7166999035

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No MD00043720
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
191866 WA STATE L&I
8409245 WA --
8939525 WA STATE CRIME VICTIMS

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FAQs about Brenda R Van Fossen

What is the Brenda R Van Fossen's 1073522587?

The Brenda R Van Fossen's NPI (National Provider Identifier) Number is 1073522587. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Brenda R Van Fossen is geographically located?

The Brenda R Van Fossen is physically situated at the following location: Po Box 500, Ellicottville, NY, 147310500.

What is Brenda R Van Fossen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Brenda R Van Fossen is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date was the 1073522587 assigned to Brenda R Van Fossen?

The Brenda R Van Fossen was issued its 1073522587 on 2006-08-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Brenda R Van Fossen most recently updated or revised?

The details related to Brenda R Van Fossen, including its address, specialty, and other relevant information, were last updated or revised on 2018-03-22.

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