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NPI Code Detail

MEDICARE: CHANTAL ZALIKE KEIZER M.D.

MEDICARE: CHANTAL ZALIKE KEIZER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician302690NY

General Provider Information

NPI Number : 1235568783
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANTAL ZALIKE KEIZER M.D.
Provider Business Mailing Address
First Line : 100 KINGS HWY S
Second Line :
City : ROCHESTER
State : NY
Zip : 14617-5504
Country : US
Telephone Number : 585-227-7600
Fax Number :
Provider Business Practice Location Address
First Line : 470 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14612-3057
Country : US
Telephone Number : 585-227-7600
Fax Number : 585-227-8322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2013
Last Update Date : 09/03/2021

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