National Provider Identifier

Brian McKeon

Brian McKeon is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 368-6900.

NPI 1114692571Rochester, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1114692571
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
August 09, 2021
Last Updated
August 09, 2021

Practice Location

  • 81 Lake Ave
  • Rochester, NY 14608-1410

Phone: (585) 368-6900

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)

Endpoints

  • gmckeon8

    Connect Url | Direct | Csv | Rochester, NY 14608

Full Record
NPI
1114692571
Entity Type
Individual
Last Name
McKeon
First Name
Brian
Mailing Street Address
81 Lake Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14608-1410
Mailing Country
US
Mailing Phone
(585) 368-6900
Practice Street Address
81 Lake Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14608-1410
Practice Country
US
Practice Phone
(585) 368-6900
Enumeration Date
August 09, 2021
Last Updated
August 09, 2021
Sex
Male
Sole Proprietor
Yes
Certification Date
August 09, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X)