Provider Demographics
NPI:1669671459
Name:DRS. FARKAS, KASSALOW, RESNICK & ASSOCIATES, PC
Entity Type:Organization
Organization Name:DRS. FARKAS, KASSALOW, RESNICK & ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:FARKAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:212-355-5145
Mailing Address - Street 1:30 EAST 60 STREET
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-355-5145
Mailing Address - Fax:212-308-3262
Practice Address - Street 1:30 EAST 60 STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-355-5145
Practice Address - Fax:212-308-3262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0666510001Medicare NSC