Individual
KIMBERLY A DOBRODZIEJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
14 MOUNTAIN LEDGE, WILTON, NY 12831-1993
(518) 450-1080
Mailing address
14 MOUNTAIN LEDGE, WILTON, NY 12831-1993
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008144
NY
152WC0802X
Corneal and Contact Management Optometrist
TUV008144
NY
152WP0200X
Pediatric Optometrist
TUV008144
NY
152WV0400X
Vision Therapy Optometrist
TUV008144
NY
Other
Enumeration date
08/14/2014
Last updated
11/14/2024
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