Provider Demographics
NPI:1326241340
Name:ANDREY KESLER, OD
Entity Type:Organization
Organization Name:ANDREY KESLER, OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:KESLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-541-8594
Mailing Address - Street 1:7901 BAY PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-1955
Mailing Address - Country:US
Mailing Address - Phone:718-541-8594
Mailing Address - Fax:
Practice Address - Street 1:7901 BAY PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-1955
Practice Address - Country:US
Practice Address - Phone:718-541-8594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV006710152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty