Organization
COPELAND FERTIG & KRAMER OPTOMETRIC EYE ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSE FERTIG O.D. (OPTOMETRIST)
91493908300
Entity
Organization
Contact information
Practice address
204 S RIDGE ST, RYE BROOK, NY 10573-3434
(914) 939-0830
Mailing address
204 S RIDGE ST, RYE BROOK, NY 10573-3434
(914) 939-0830
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007355
NY
Other
Enumeration date
10/25/2010
Last updated
04/06/2011
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