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Glenn H Fredenburg
Family Nurse Practitioner in Buffalo, New York
NPI 1679152664

Glenn H Fredenburg is a Family Nurse Practitioner based in Chazy, NY and is specialized in Family. Glenn H Fredenburg practices in Buffalo, NY. The NPI Number for Glenn H Fredenburg is 1679152664 and holds a License No. 101.0134798 (New York).

The current practice location address for Glenn H Fredenburg is 40 La Riviere Dr Ste 201, Buffalo, NY and can be reached out via phone at 518-335-5097.

Location: 40 La Riviere Dr Ste 201, Buffalo, NY, 12921-2043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679152664
Provider Name
Glenn H Fredenburg
Credential
Provider Entity Type
Individual
Gender
Male
Address
40 La Riviere Dr Ste 201, Buffalo, NY, 12921-2043
Phone Number
518-335-5097
Fax Number
Provider Enumeration Date
04/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40 La Riviere Dr Ste 201
City
Buffalo
State
New York
Zip
14202-4344
Phone Number
518-335-5097
Fax Number
person
Provider Business Mailing Address Details
Address
40 La Riviere Dr Ste 201
City
Buffalo
State
New York
Zip
14202-4344
Phone Number
518-335-5097
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
101.0134798 (Vermont)
Definition
Definition to come...
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