Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 217194 | NY |
NPI | 1194748830 |
---|---|
Provider Name | Patricia S Lee |
First Address | New Hyde Park, NY 11042-1111 |
Second Address | New Hyde Park, NY 11042-1111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H28271 | (02) | NY |