Individual
DR. KEVIN MURTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11653 QUEENS BLVD, FOREST HILLS, NY 11375-6533
(718) 261-3540
(718) 263-4406
Mailing address
11653 QUEENS BLVD, FOREST HILLS, NY 11375-6533
(718) 261-3540
(718) 263-4406
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003573-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TUV003573-1
LICENSE
NY
Enumeration date
11/28/2006
Last updated
07/08/2007
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