Individual
DR. JOHNNY LEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35 E 35TH ST, NEW YORK, NY 10016-3823
(212) 532-0888
Mailing address
8 VANDERBILT DR, LAKE SUCCESS, NY 11020-1117
(212) 532-0888
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
203375
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01905926
—
NY
Enumeration date
04/06/2006
Last updated
11/12/2018
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