Individual
TEDDY T. LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3900
Mailing address
PO BOX 826223, PHILADELPHIA, PA 19182-6223
(866) 898-7142
(770) 237-1723
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
215767-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02073834
—
NY
01
—
1239Q1
BLUECROSS BLUESHIELD
NY
01
—
1655Q1
BCBS
NY
01
—
P00303494
RAILROAD
—
Enumeration date
01/06/2006
Last updated
05/13/2008
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