Individual
KEVIN S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1649 DEER PARK AVENUE, DEER PARK, NY 11729
(631) 667-8178
(631) 667-3859
Mailing address
1649 DEER PARK AVENUE, DEER PARK, NY 11729
(631) 667-8178
(631) 667-3859
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
186405
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01665998
—
NY
Enumeration date
12/11/2006
Last updated
07/08/2007
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