Individual
DR. STUART PODELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
77 VETERANS MEMORIAL HWY, COMMACK, NY 11725-3410
(631) 499-8811
(631) 499-8846
Mailing address
77 VETERANS MEMORIAL HWY, COMMACK, NY 11725-3410
(631) 499-8811
(631) 499-8846
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003125-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00330290
—
NY
01
—
0071420
GHI
NY
01
—
4249551
AETNA
NY
01
—
P677306
OXFORD
NY
Enumeration date
11/15/2005
Last updated
05/26/2011
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