Individual
JANE A LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2685
(212) 434-2253
Mailing address
PO BOX 52788, KNOXVILLE, TN 37950-2788
(865) 588-2928
(865) 450-9374
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
221921-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075914
—
NJ
05
—
02423967
—
NY
01
—
758T61
EMPIRE BCBS
NY
01
—
P00267955
RR MCARE
NY
Enumeration date
04/20/2006
Last updated
04/25/2008
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