Individual
MRS. ANASTASIA KEISIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
139 FAIRBANKS RD, CHURCHVILLE, NY 14428-9782
(585) 293-4541
(585) 293-4513
Mailing address
3 TOWN PUMP CIR, SPENCERPORT, NY 14559-9734
(585) 594-3155
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
455357
NY
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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