Organization
SANDRA CAMMILLERI KELLETT OD, FAAO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA C KELLETT (OD/SOLE OWNER)
(914) 962-8111
Entity
Organization
Contact information
Practice address
3630 HILL BLVD, SUITE 303, JEFFERSON VALLEY, NY 10535-1505
(914) 962-8111
(914) 962-8160
Mailing address
3630 HILL BLVD, SUITE 303, JEFFERSON VALLEY, NY 10535-1505
(914) 962-8111
(914) 962-8160
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT005605-1
NY
Other
Enumeration date
11/15/2007
Last updated
11/05/2008
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