Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 265978-1 | NY |
N | 111NI0900X | Internist | 265978-1 | NY |
Y | 207RH0000X | Hematologist | 265978 | NY |
NPI | 1013171933 |
---|---|
Provider Name | Dr. Clifton Lee |
First Address | Newburgh, NY 12550-2823 |
Second Address | Newburgh, NY 12550-2823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2008 |
Last Update Date | 15/01/2014 |