Individual
DR. LEE PODBERESKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
358 MOUNTAIN AVE, MONROE, NY 10950-1114
(845) 782-1837
(845) 774-8849
Mailing address
358 MOUNTAIN AVE, MONROE, NY 10950-1114
(845) 782-1837
(845) 774-8849
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T004929-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01691625
—
NY
Enumeration date
11/07/2006
Last updated
07/09/2007
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