Individual
ELIZABETH KEIRSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-8410
(585) 273-1305
Mailing address
218 SPRING TREE LN, ROCHESTER, NY 14612-2828
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008719-1
NY
Other
Enumeration date
12/19/2016
Last updated
12/21/2016
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