Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 2287131 | NY |
NPI | 1033118229 |
---|---|
Provider Name | Richard M. Lee |
First Address | Rockville Centre, NY 11570-5254 |
Second Address | Rockville Centre, NY 11570-5254 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2005 |
Last Update Date | 09/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02410915 | (05) | NY |
A400118485 | (02) | NY |