Organization
BLACK DOG ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALIE KEITH (MD)
(607) 587-9208
Entity
Organization
Contact information
Practice address
400 N MAIN ST, WARSAW, NY 14569-1025
(585) 786-1222
Mailing address
100 W UNIVERSITY ST, ALFRED, NY 14802-1134
(607) 587-9208
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
171396
NY
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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