Kellett, Sandra C

Kellett, Sandra C is an individual health care provider with primary practice located at 3630 Hill Blvd Suite 303, Jefferson Valley NY 10535-1502. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kellett, Sandra C can be contacted via phone (914) 962-8111.

Contact Information

Primary practice address
3630 Hill Blvd Suite 303 Jefferson Valley NY 10535-1502
Phone: (914) 962-8111
Fax: (914) 962-8160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X VUT005605-1 New York

Profile Details

NPI number 1174627715
LBN Legal business name Kellett, Sandra C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Nov 15th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174627715 NPPES
New York Other 3C0168 HEALTHNET OF THE NORTHEAS
New York Other 4242180001 HEALTHNET OF THE NORTHEAS
New York Other C23392 HEALTHNET OF THE NORTHEAS
New York Other 597002 HEALTHNET OF THE NORTHEAS
New York Other 17390P HEALTHNET OF THE NORTHEAS
New York Other 2508518 HEALTHNET OF THE NORTHEAS
New York Other 5714530 HEALTHNET OF THE NORTHEAS
New York Other P-11097425 HEALTHNET OF THE NORTHEAS
New York Other P677288 HEALTHNET OF THE NORTHEAS
New York Other C23392 HEALTHNET OF THE NORTHEAS

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