Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 233925 | NY |
N | 208000000X | Pediatrician | 233925 | NY |
Y | 2080P0202X | Pediatric Cardiologist | 233925 | NY |
NPI | 1376612804 |
---|---|
Provider Name | Dr. Teresa M. Lee |
First Address | New York, NY 10032-1559 |
Second Address | New York, NY 10032-1559 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 26/05/2017 |