Individual
DR. MARVIN S. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
176 DENISON PKWY E, CORNING, NY 14830-2814
(607) 937-7278
(607) 937-7860
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
113108-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018676990002
—
PA
05
—
00373139
—
NY
01
—
050083222
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
NY
Enumeration date
01/31/2006
Last updated
09/14/2011
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