SHANNON FOURTNER

BATAVIA, NY
NPI1225111651
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: NY  236427)
Additional Taxonomies2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: OH  35.141690)
2080P0205X Pediatrics, Pediatric Endocrinology
(Licence: NM  md2017-1044)
Enumeration Date2006-10-21
Last Update Date2021-09-10
Business Address
SHANNON FOURTNER MD
5762 E MAIN STREET RD STE B
BATAVIA, NY 14020-9621
Phone number: 585-201-7112
Mailing Address
SHANNON FOURTNER MD
5762 E MAIN STREET RD STE B
BATAVIA, NY 14020-9621
Phone number: 585-201-7112