Individual
DEIRDRE KEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
5229 WITZ DRIVE, NORTH SYRACUSE, NY 13212
(315) 701-9500
Mailing address
5229 WITZ DRIVE, NORTH SYRACUSE, NY 13212
(315) 701-9500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003526
NY
Other
Enumeration date
01/13/2006
Last updated
07/11/2007
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