Individual
JENNIFER LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 E 68TH ST FL 6, NEW YORK, NY 10065-4870
(212) 746-5454
Mailing address
148 5TH AVE, HICKSVILLE, NY 11801-5437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
278310
NY
208M00000X
Hospitalist Physician
Primary
278310
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2012
Last updated
08/07/2025
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