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Vanessa Lalley-demong, DO
Family Medicine Physician in Fayetteville, New York
NPI 1841511342

Vanessa Lalley-demong is a Family Medicine Physician based in Liverpool, NY. Vanessa Lalley-demong practices in Fayetteville, NY and has the professional credentials of DO. The NPI Number for Vanessa Lalley-demong is 1841511342 and holds a License No. (New York).

The current practice location address for Vanessa Lalley-demong is 4000 Medical Center Dr, Fayetteville, NY and can be reached out via phone at 315-663-0059 and via fax at 315-663-0123.

Location: 4000 Medical Center Dr, Fayetteville, NY, 13088-3807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841511342
Provider Name
Vanessa Lalley-demong
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4000 Medical Center Dr, Fayetteville, NY, 13088-3807
Phone Number
315-663-0059
Fax Number
315-663-0123
Provider Enumeration Date
06/18/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03950429 05 NY
institution
Provider Business Practice Location Address Details
Address
4000 Medical Center Dr
City
Fayetteville
State
New York
Zip
13066-6635
Phone Number
315-663-0059
Fax Number
315-663-0123
person
Provider Business Mailing Address Details
Address
4000 Medical Center Dr
City
Fayetteville
State
New York
Zip
13066-6635
Phone Number
315-663-0059
Fax Number
315-663-0123
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
275026 (New York)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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