Provider Demographics
NPI:1497904239
Name:SPECS FOR LESS
Entity Type:Organization
Organization Name:SPECS FOR LESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-967-2869
Mailing Address - Street 1:2935 VETERANS RD W
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10309-2514
Mailing Address - Country:US
Mailing Address - Phone:718-967-2869
Mailing Address - Fax:718-966-2895
Practice Address - Street 1:2935 VETERANS RD W
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-2514
Practice Address - Country:US
Practice Address - Phone:718-967-2869
Practice Address - Fax:718-966-2895
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPECS FOR LESS OF SOUTH SHORE COMMONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTIN