Individual
COREY KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3560 N BUFFALO ST, ORCHARD PARK, NY 14127-1934
(716) 662-8510
Mailing address
3 SOLDIER WOOD CIR, ORCHARD PARK, NY 14127-4855
(716) 462-7795
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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