Murtha, Kevin

Murtha, Kevin is an individual health care provider with primary practice located at 11653 Queens Blvd , Forest Hills NY 11375-6533. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Murtha, Kevin can be contacted via phone (718) 261-3540.

Contact Information

Primary practice address
11653 Queens Blvd Forest Hills NY 11375-6533
Phone: (718) 261-3540
Fax: (718) 263-4406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TUV003573-1 New York

Profile Details

NPI number 1225104425
LBN Legal business name Murtha, Kevin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225104425 NPPES
New York Other TUV003573-1 LICENSE

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