Individual
KEITH JAMES CAMPESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4960 TRANSIT RD STE 1, DEPEW, NY 14043-4655
(716) 462-8519
Mailing address
26 SAGEBRUSH LN, LANCASTER, NY 14086-9430
(716) 462-8519
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005770-1
NY
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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