National Provider Identifier

Allison Keitz, PA-C

Allison Keitz, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Lockport, NY and a listed phone number of (716) 930-9874.

NPI 1689127334Lockport, NYMedical Physician Assistant

Profile Overview

NPI
1689127334
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
July 29, 2016
Last Updated
February 11, 2021

Practice Location

  • 3644 Day Road
  • Lockport, NY 14094

Phone: (716) 930-9874

Mailing Address

  • 4225 Genesee St Ste 400
  • Cheektowaga, NY 14225-1994

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1689127334
Entity Type
Individual
Last Name
Keitz
First Name
Allison
Name Prefix
Miss
Credential
PA-C
Provider Other Last Name
Cuzzacrea
Provider Other First Name
Allison
Provider Other Credential Text
PA
Provider Other Last Name Type Code
1
Mailing Street Address
4225 Genesee St Ste 400
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-1994
Mailing Country
US
Mailing Phone
(716) 204-3200
Mailing Fax
(716) 204-4337
Practice Street Address
3644 Day Road
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094
Practice Country
US
Practice Phone
(716) 930-9874
Enumeration Date
July 29, 2016
Last Updated
February 11, 2021
Sex
Female
Sole Proprietor
No
Certification Date
February 11, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)