Kelly Siahpoosha

NPI #1598147852 in Amsterdam, New York

Provider Information

NPI Number: 1598147852
Entity Type: Individual
Name: Kelly Siahpoosha
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Enumeration Date: Jun 23, 2015
Last Updated: Jun 23, 2015

Practice Location

Address: 100 HOLLAND CIRCLE DR
City: Amsterdam
State: New York
ZIP Code: 12010-7551
Phone: (518) 842-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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