Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 205979 | NY |
NPI | 1003848714 |
---|---|
Provider Name | Dr. David H Lee |
First Address | Flushing, NY 11366-1934 |
Second Address | Flushing, NY 11354-5550 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01740789 | (05) | NY |
G46337 | (02) | NY |