Individual
MISS ALLISON KEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3644 DAY ROAD, LOCKPORT, NY 14094
(716) 930-9874
Mailing address
4225 GENESEE ST STE 400, CHEEKTOWAGA, NY 14225-1994
(716) 204-3200
(716) 204-4337
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019754
NY
Other
Enumeration date
07/29/2016
Last updated
02/11/2021
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