Individual
CHONG T LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HAWLEY ST, BINGHAMTON, NY 13901-3102
(607) 778-1152
(607) 778-1164
Mailing address
4529 SALEM DR, VESTAL, NY 13850-3852
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
128642
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06000128642
—
NY
01
—
10058839
CDPHP
NY
Enumeration date
07/19/2006
Last updated
07/08/2007
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