Individual
ANDY M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7568 187TH ST, FRESH MEADOWS, NY 11366-1726
(718) 303-6100
(718) 939-1167
Mailing address
7568 187TH ST, FRESH MEADOWS, NY 11366-1726
(718) 303-6100
(718) 939-1167
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
195169
NY
2086S0129X
Vascular Surgery Physician
Primary
195169
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020053884
RAILROAD MEDICARE-CRT
NY
05
—
02171566
—
NY
Enumeration date
05/27/2006
Last updated
11/29/2022
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