Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 287661 | NY |
Y | 111NI0900X | Internist | 287661 | NY |
N | 207RH0002X | Hospice and Palliative Medicine | 287661 | NY |
NPI | 1225457187 |
---|---|
Provider Name | Michele Y Lee |
First Address | New York, NY 10087-8082 |
Second Address | New York, NY 10029-6504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2014 |
Last Update Date | 28/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
05557722 | (05) | NY |