Individual
DR. MARYANN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1200 SOUTH AVE, SUITE 307, STATEN ISLAND, NY 10314-3413
(718) 698-3777
(718) 698-8777
Mailing address
1200 SOUTH AVE, SUITE 307, STATEN ISLAND, NY 10314-3529
(718) 698-3777
(718) 698-8777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07938600
NJ
207RR0500X
Rheumatology Physician
Primary
239954
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00717999RAILROAD
MEDICARE RAILROAD
NY
Enumeration date
05/06/2007
Last updated
10/08/2015
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