Individual
DR. SALLY S. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
99 HAWLEY LN, STRATFORD, CT 06614-1202
(203) 666-8145
Mailing address
PO BOX 202, ITHACA, NY 14851-0202
(607) 483-4004
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
219997-1
NY
207RN0300X
Nephrology Physician
Primary
MD424986
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02411636
—
NY
05
—
1010814360001
—
PA
01
—
GU040072
PA MEDICARE GROUP
PA
01
—
P00173973
RR MEDICARE
PA
Enumeration date
01/31/2006
Last updated
06/13/2025
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