Organization
DUTCHESS OPTOMETRY, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAUL POLENBERG O.D. (OPTOMETRIST/OWNER)
(845) 471-3650
Entity
Organization
Contact information
Practice address
7 FULTON CT, POUGHKEEPSIE, NY 12603-2802
(845) 471-3650
(845) 471-1024
Mailing address
7 FULTON CT, POUGHKEEPSIE, NY 12603-2802
(845) 471-3650
(845) 471-1024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT3022
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10032271
CDPHP
NY
01
—
903535
BLOCK
NY
01
—
903934
BLOCK
NY
01
—
939167
MVP
NY
01
—
C93911
BC/BS
NY
01
—
VUT003022
LICENSE NUMBER
NY
Enumeration date
10/19/2007
Last updated
09/27/2011
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