National Provider Identifier

Vivien Leah Redeye, MD

Vivien Leah Redeye, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Fredonia, NY and a listed phone number of (716) 672-3030.

NPI 1275820441Fredonia, NYFamily Medicine Physician

Profile Overview

NPI
1275820441
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
July 07, 2011
Last Updated
September 17, 2024

Practice Location

  • 3780 Eagle St
  • Fredonia, NY 14063-9410

Phone: (716) 672-3030

Mailing Address

  • 103 Allen St
  • Jamestown, NY 14701-6968

Specialties

  • Family Medicine Physician (207Q00000X)
  • Family Medicine Physician (207Q00000X)
  • Hospitalist Physician (208M00000X)
Full Record
NPI
1275820441
Entity Type
Individual
Last Name
Redeye
First Name
Vivien
Middle Name
Leah
Credential
MD
Mailing Street Address
103 Allen St
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-6968
Mailing Country
US
Mailing Phone
(716) 338-0022
Practice Street Address
3780 Eagle St
Practice City
Fredonia
Practice State
NY
Practice ZIP Code
14063-9410
Practice Country
US
Practice Phone
(716) 672-3030
Practice Fax
(716) 338-1567
Enumeration Date
July 07, 2011
Last Updated
September 17, 2024
Sex
Female
Sole Proprietor
No
Certification Date
August 22, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X), Hospitalist Physician (208M00000X)