Organization
SPECS FOR LESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L KIRSCH (PRESIDENT)
(718) 605-4102
Entity
Organization
Contact information
Practice address
3245 RICHMOND AVE, STATEN ISLAND, NY 10312-2123
(718) 605-4102
(718) 605-4109
Mailing address
3245 RICHMOND AVE, STATEN ISLAND, NY 10312-2123
(718) 605-4102
(718) 605-4109
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
4792
NY
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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