Individual
KEITH GERARD PRYHUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 HELENDALE RD, SUITE 90, ROCHESTER, NY 14609-3173
(585) 288-0530
(585) 288-3363
Mailing address
500 HELENDALE RD, SUITE 90, ROCHESTER, NY 14609-3173
(585) 288-0530
(585) 288-3363
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
169326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010133641
—
NY
01
—
101174CD
PREFERRED CARE NO
NY
01
—
169326
NY STATE LICENSE NO
NY
01
—
P010169326
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
04/19/2006
Last updated
11/12/2010
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