Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 246939 | NY |
NPI | 1598924383 |
---|---|
Provider Name | Jennifer S. Lee |
First Address | Tarrytown, NY 10591-5139 |
Second Address | Melville, NY 11747-4992 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2008 |
Last Update Date | 03/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03328970 | (05) | NY |