SearchNew York251E00000X

Keith Maddox

NPI 1295182293 · on the registry since 2016 · sole proprietor

Practice

Address
230 Calm Lake Cir
Apt. A
Rochester, NY 14612
Phone
(585) 483-1720
Clinicians at this address
2

Registry record

Primary taxonomy
251E00000X
251E00000X
Also registered as
251B00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York