Brenda R Van Fossen
MD | Pediatrics | Female
Brenda R Van Fossen, MD is a Liverpool, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Brenda R Van Fossen is
7375 Oswego Rd, Liverpool, New York - 13090-3717. She can be contacted on phone at
315-291-0064 and fax number 315-291-0065.
Brenda R Van Fossen is a sole proprietor of her business.
NPI number (Unique professional ID) for Brenda R Van Fossen is
1073522587 which was assigned by NPPES on 05 Aug, 2006 and it was last updated on 22 Mar, 2018.
Brenda R Van Fossen license number is
291334 for Pediatrics (208000000X) in New York.
Brenda R Van Fossen is a pediatrician who 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 chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Brenda R Van Fossen basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Brenda R Van Fossen |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Brenda R Van Fossen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 7375 Oswego Rd
Liverpool, NY, 13090-3717
United States |
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| Phone Number : | 315-291-0064 |
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| Fax Number : | 315-291-0065 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1073522587 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Aug, 2006 |
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| Last Updated On : | 22 Mar, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brenda R Van Fossen are as mentioned. Primary taxonomy code for Brenda R Van Fossen, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 291334 | NY |
| 208000000X | Pediatrics | No | MD00043720 | WA |
Legacy Identifiers:
Other legacy medical identifiers of Brenda R Van Fossen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8939525 | Other | WA | STATE CRIME VICTIMS |
| 0191866 | Other | WA | STATE L&I |
| 8409245 | MEDICAID | WA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 500
Ellicottville, NY, 14731-0500
United States |
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| Phone Number : | 716-699-9032 |
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| Fax Number : | 716-699-9035 |
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Business Location:
Patients can refer following map for directions to
Brenda R Van Fossen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.