Individual
LEE E PONSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-5661
(216) 286-6341
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35-076431
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221283
UNISON
OH
01
—
000000507515
ANTHEM
OH
05
—
2400593
—
OH
01
—
363923
WELLCARE
OH
01
—
7283524
AETNA
OH
01
—
737363
BUCKEYE
OH
01
—
P00388786
RAILROAD MEDICAR
OH
Enumeration date
07/17/2006
Last updated
01/11/2021
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