Provider Demographics
NPI:1417152208
Name:FARBER, LEE A (DO)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:A
Last Name:FARBER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1351 ROUTE 55
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LAGRANGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12540-5108
Mailing Address - Country:US
Mailing Address - Phone:845-475-9661
Mailing Address - Fax:845-475-9938
Practice Address - Street 1:21 READE PL
Practice Address - Street 2:SUITE 3100
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3947
Practice Address - Country:US
Practice Address - Phone:845-214-1800
Practice Address - Fax:845-214-1818
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2012-08-14
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Provider Licenses
StateLicense IDTaxonomies
NY265419208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery