Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 061409 | NY |
NPI | 1053927624 |
---|---|
Provider Name | Dr. Victor Yin Yu Lee |
First Address | New York, NY 10019-4366 |
Second Address | New York, NY 10032-4724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2020 |
Last Update Date | 19/09/2020 |