Healthcare Provider Details

I. General information

NPI: 1457912388
Provider Name (Legal Business Name): VANESSA BROWNE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2019
Last Update Date: 06/23/2024
Certification Date: 06/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1504 W STATE ST
OLEAN NY
14760-2040
US

IV. Provider business mailing address

2307 ANDOVER RD
WELLSVILLE NY
14895-9540
US

V. Phone/Fax

Practice location:
  • Phone: 716-372-1046
  • Fax: 716-372-1047
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT218889
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number326021
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: