National Provider Identifier
Keyla Graham Zinteck Fisk, LCSW
Keyla Graham Zinteck Fisk, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 862-3124.
Profile Overview
- NPI
- 1689040859
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 11, 2015
- Last Updated
- January 04, 2019
Practice Location
- 3495 Bailey Ave # 10A
- Buffalo, NY 14215-1129
Phone: (716) 862-3124
Specialties
- Clinical Social Worker (1041C0700X)
- Social Worker (104100000X)
Full Record
- NPI
- 1689040859
- Entity Type
- Individual
- Last Name
- Fisk
- First Name
- Keyla
- Middle Name
- Graham Zinteck
- Credential
- LCSW
- Mailing Street Address
- 3495 Bailey Ave # 10A
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-1129
- Mailing Country
- US
- Mailing Phone
- (716) 862-3124
- Mailing Fax
- (716) 862-7853
- Practice Street Address
- 3495 Bailey Ave # 10A
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 862-3124
- Practice Fax
- (716) 862-7853
- Enumeration Date
- August 11, 2015
- Last Updated
- January 04, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Social Worker (104100000X)