Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 220463 | NY |
NPI | 1114132701 |
---|---|
Provider Name | Dr. Joshua David Lee |
First Address | New York, NY 10012-3592 |
Second Address | New York, NY 10010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 08/07/2007 |