Individual
DR. MICHAEL JAY KEYES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642-0001
(585) 275-9555
(585) 785-8234
Mailing address
601 ELMWOOD AVE, BOX 655, ROCHESTER, NY 14642-0001
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
249107
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03015836
—
NY
Enumeration date
08/24/2006
Last updated
04/29/2010
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