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Search › New York › 152W00000X

Jesse Fertig, OD

NPI 1366557738 · on the registry since 2006

Practice

Address
12430 Queens Blvd
Kew Gardens, NY 11415
Phone
(718) 261-2344
Organisation at this address
Lens Express Optical, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
152W00000X
152W00000X
152W00000X
152W00000X
Licence states on file
WI, IL, FL, IA, VA, NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York