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Individual

STEPHEN A LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 ROE AVE, ELMIRA, NY 14905-1629
(607) 737-7770
Mailing address
571 SAINT JOSEPHS BLVD FL 2, ELMIRA, NY 14901-3230
(607) 271-2050

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01070250A
IN
207R00000X
Internal Medicine Physician
263007
NY
207R00000X
Internal Medicine Physician
35.099433
OH
207R00000X
Internal Medicine Physician
4301099793
MI
208M00000X
Hospitalist Physician
Primary
263007
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03798487
NY
Enumeration date
09/26/2011
Last updated
09/28/2016
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