National Provider Identifier

Keith Triscari

Keith Triscari is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Jamestown, NY and a listed phone number of (716) 661-1590.

NPI 1871050211Jamestown, NYMental Health Counselor

Profile Overview

NPI
1871050211
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
February 21, 2019
Last Updated
February 21, 2019

Practice Location

  • 880 E 2Nd St
  • Jamestown, NY 14701-3824

Phone: (716) 661-1590

Mailing Address

  • 200 Dunham Ave
  • Jamestown, NY 14701-2528

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1871050211
Entity Type
Individual
Last Name
Triscari
First Name
Keith
Mailing Street Address
200 Dunham Ave
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-2528
Mailing Country
US
Mailing Phone
(716) 661-1400
Practice Street Address
880 E 2Nd St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-3824
Practice Country
US
Practice Phone
(716) 661-1590
Practice Fax
(716) 661-1495
Enumeration Date
February 21, 2019
Last Updated
February 21, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)
Other Identifiers
P05379 (NY, State Permit #)