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NPI Code Detail

MEDICARE: DR. ROSALIE C KEITH DO

MEDICARE: DR. ROSALIE C KEITH DO
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
1207L00000XAnesthesiology Physician171396NY

General Provider Information

NPI Number : 1851386742
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROSALIE C KEITH DO
Provider Business Mailing Address
First Line : 100 W UNIVERSITY ST
Second Line :
City : ALFRED
State : NY
Zip : 14802-1134
Country : US
Telephone Number : 607-587-9208
Fax Number : 607-587-9208
Provider Business Practice Location Address
First Line : 100 W UNIVERSITY ST
Second Line :
City : ALFRED
State : NY
Zip : 14802-1134
Country : US
Telephone Number : 607-587-9208
Fax Number : 607-587-9208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2005
Last Update Date : 02/21/2008

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Directions to “ DR. ROSALIE C KEITH DO” Practice Location

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