Dr. Kelly Marie Primeau, OD
Optometrist in Cohoes, NY. Individual provider (NPI-1).
NPI number1679533913
StatusActive
Last updated in NPPESSep 14, 2023
Details
- NPI
- 1679533913
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kelly Marie Primeau
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2006
- Certification date
- Sep 14, 2023
- Last updated
- Sep 14, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TUV005872 | NY | Yes |
Other names
- Kelly Marie Ceccucci (Former Name)
Practice location
91 Mohawk StCohoes, NY 12047
Phone 518-237-0342 · Fax 518-235-9266
Mailing address
91 Mohawk StCohoes, NY 12047
Phone 518-237-0342 · Fax 518-235-9266
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