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Individual
DR. TAT- SUM LEE
Active
Individual
DR. TAT- SUM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
126308
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010102203
UNIVERA
NY
01
—
000507408002
BLUE CROSS BLUE SHIELD
NY
05
—
00600702
—
NY
01
—
6407025
INDEPENDENT HEALTH
NY
Enumeration date
05/27/2006
Last updated
11/29/2016
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