Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 0546369 | NY |
NPI | 1023402393 |
---|---|
Provider Name | Mindy Winghin Lee |
First Address | New York, NY 10021-5663 |
Second Address | New York, NY 10021-5663 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2015 |
Last Update Date | 27/09/2019 |