Individual
ROSE KEENAN STREETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1259 FISHER AVE FL 2, CORTLAND, NY 13045-1012
(607) 756-4600
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1699
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
NY
Other
Enumeration date
01/25/2019
Last updated
02/26/2021
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