Individual
DR. KEITH STEPHEN FULEKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 WEST AVE, ALBION, NY 14411-1522
(585) 589-5613
(585) 637-2375
Mailing address
300 WEST AVE, BROCKPORT, NY 14420-1118
(585) 637-3905
(585) 637-4990
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
282568
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04358518
—
NY
Enumeration date
05/28/2013
Last updated
03/22/2018
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