Individual
JEFFREY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 NICOLLS RD # HSCT9040, STONY BROOK, NY 11794-3201
(631) 444-1910
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
339128
NY
208800000X
Urology Physician
A195715
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2018
Last updated
08/19/2025
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