Healthcare Provider Details

I. General information

NPI: 1477669828
Provider Name (Legal Business Name): JOSEPH R. PODHORZER, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2025 KINGS HWY FL 2
BROOKLYN NY
11229-1463
US

IV. Provider business mailing address

167 SCOTT DR
ATLANTIC BEACH NY
11509-1633
US

V. Phone/Fax

Practice location:
  • Phone: 718-645-2231
  • Fax: 718-663-2933
Mailing address:
  • Phone: 516-551-7638
  • Fax: 718-663-2933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number193410
License Number StateNY

VIII. Authorized Official

Name: DR. JOSEPH RICHARD PODHORZER
Title or Position: PHYSICIAN
Credential:
Phone: 718-645-2231