Individual
DR. KENNETH BRIAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(631) 968-3000
Mailing address
301 E MAIN ST, BAY SHORE, NY 11706-8408
(917) 533-3752
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
272516
NY
Other
Enumeration date
06/10/2009
Last updated
08/29/2022
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