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Shannon Fourtner, MD
Pediatric Endocrinology Physician in Batavia, New York
NPI 1225111651

Shannon Fourtner is a Pediatric Endocrinology Physician based in Batavia, NY and is specialized in Pediatric Endocrinology. Shannon Fourtner practices in Batavia, NY and has the professional credentials of MD. The NPI Number for Shannon Fourtner is 1225111651 and holds a License No. 236427 (New York).

The current practice location address for Shannon Fourtner is 5762 E Main Street Rd Ste B, Batavia, NY and can be reached out via phone at 585-201-7112 and via fax at 585-201-7128.

Location: 5762 E Main Street Rd Ste B, Batavia, NY, 14020-9621
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225111651
Provider Name
Shannon Fourtner
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5762 E Main Street Rd Ste B, Batavia, NY, 14020-9621
Phone Number
585-201-7112
Fax Number
585-201-7128
Provider Enumeration Date
10/21/2006
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000528154001 01 BC/BS
050805000017 01 FIDELIS
1212950 01 IHA
1019564320001 01 PA MEDICAID
02657463 05 NY
00027224401 01 UNIVERA
institution
Provider Business Practice Location Address Details
Address
5762 E Main Street Rd Ste B
City
Batavia
State
New York
Zip
14020-9621
Phone Number
585-201-7112
Fax Number
585-201-7128
person
Provider Business Mailing Address Details
Address
5762 E Main Street Rd Ste B
City
Batavia
State
New York
Zip
14020-9621
Phone Number
585-201-7112
Fax Number
585-201-7128
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Endocrinology
Taxonomy
2080P0205X
License No.
236427 (New York)
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
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