Organization
COHOES EYE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY PRIMEAU OD (OPTOMETRIST)
(518) 233-0463
Entity
Organization
Contact information
Practice address
91 MOHAWK ST, COHOES, NY 12047-2809
(518) 237-0342
(518) 235-9266
Mailing address
91 MOHAWK ST, COHOES, NY 12047
(518) 237-0342
(518) 235-9266
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005872
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02133640
—
NY
01
—
U70980
UPIN
NY
Enumeration date
10/08/2017
Last updated
09/24/2018
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