Provider Demographics
NPI:1295760577
Name:KIELER, ANN (MD)
Entity type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:KIELER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 HASWELL GREENE RD
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-9777
Mailing Address - Country:US
Mailing Address - Phone:518-465-7172
Mailing Address - Fax:
Practice Address - Street 1:1375 WASHINGTON AVE
Practice Address - Street 2:SUITE 227
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206-1070
Practice Address - Country:US
Practice Address - Phone:518-465-7172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129820207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
10001057OtherCDPHP
78E16OtherBCBS
AK37181CMedicare ID - Type Unspecified
NYRB8232Medicare PIN
10001057OtherCDPHP