MR. Jesse Jacob Fertig, OD
NPI #1366557738 in Kew Gardens, New York
Provider Information
- NPI Number
- 1366557738
- Entity Type
- Individual
- Name
- MR. Jesse Jacob Fertig, OD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- OD
- Enumeration Date
- Aug 19, 2006
- Last Updated
- Mar 6, 2023
Practice Location
- Address
- 12430 QUEENS BLVD
- City
- Kew Gardens
- State
- New York
- ZIP Code
- 11415-1501
- Phone
- (718) 261-2344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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