Individual
DR. JAE HO LEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
160 N MIDLAND AVE, NYACK HOSPITAL, NYACK, NY 10960-1912
(914) 666-8866
Mailing address
43 KENSICO DR, 2ND FLOOR, MOUNT KISCO, NY 10549-1009
(914) 666-8866
(914) 666-6777
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
205923
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01740743
—
NY
Enumeration date
08/11/2005
Last updated
07/08/2007
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