Organization
SPECS FOR LESS OF THIRD AVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY L. KIRSCH (OWNER)
(212) 831-3162
Entity
Organization
Contact information
Practice address
1904 3RD AVE, NEW YORK, NY 10029-4601
(212) 831-3162
Mailing address
1904 3RD AVE, NEW YORK, NY 10029-4601
(212) 831-3162
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4792
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01178096
—
NY
Enumeration date
12/09/2005
Last updated
08/22/2020
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