Individual
NAM SOO LEE
Active
Individual
NAM SOO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
133102
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401636001
BLUE SHIELD
—
05
—
00561477
—
NY
01
—
0404260006727
FIDELIS
—
01
—
10002697
CDPHP
—
01
—
26103
MVP
—
01
—
76E58
EMPIRE BC
—
Enumeration date
03/23/2006
Last updated
07/13/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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