Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 240910 | NY |
Y | 2086S0120X | Pediatric Surgery | 25MA09507600 | NJ |
NPI | 1285658419 |
---|---|
Provider Name | Dr. Yi-Horng Lee |
First Address | Philadelphia, PA 19182-9642 |
Second Address | New Brunswick, NJ 08901-1928 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 23/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02780023 | (05) | NY |