Individual
ERNEST J. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
624 MCCLELLAN ST, SUITE G01, SCHENECTADY, NY 12304-1020
(518) 347-5655
(518) 347-5656
Mailing address
624 MCCLELLAN ST, SUITE G01, SCHENECTADY, NY 12304-1020
(518) 347-5655
(518) 347-5656
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
193404
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01572238
—
NY
01
—
110022226001
CDPHP
—
01
—
219HE1
EMPIRE BLUE CROSS
—
01
—
5369702
AETNA
—
01
—
9083054
MVP
—
Enumeration date
10/19/2006
Last updated
06/24/2016
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