Individual provider · Type 1 NPI
Rose Keenan Streets, PA-C
Surgical Physician Assistant · Cortland, NY
NPI number
1245794130
Active
Practice location
1259 Fisher Ave Fl 2
Cortland, NY 13045-1012
Mailing address
1 Guthrie Sq
Sayre, PA 18840-1699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
About NPI 1245794130
Rose Keenan Streets, PA-C's National Provider Identifier is 1245794130, issued on Jan 25, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Cortland, NY. The record was last updated on Feb 26, 2021.