Organization
MARK DAH JEN LEE SURGERY PC
Active
Other names
Mark Lee, MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAH JEN LEE MD (PRESIDENT)
(212) 343-0379
Entity
Organization
Contact information
Practice address
86 BOWERY # 5F, NEW YORK, NY 10013-4615
(212) 343-0379
(212) 343-0393
Mailing address
185 CANAL ST FRNT 6, NEW YORK, NY 10013-4537
(212) 343-0379
(212) 343-0393
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
182896
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100572
GHI
NY
01
—
010182896NY03
ANTHEM
NY
05
—
01253832
—
NY
01
—
051227300808
CENTERCARE
NY
01
—
051227300808
FIDELIS
—
01
—
1010813
UNITED HEALTHCAER
—
01
—
119862
WELLCARE
NY
01
—
1700749
UNITED HALTHCARE
NY
01
—
182896
HIP
NY
01
—
182896
HIP
—
01
—
182896-01
NEIGHBORHOOD
NY
01
—
182896B31
HEALTHFIRST
NY
01
—
2700066
AETNA
NY
01
—
2801H1
BLUE CROSS AND BLUE SHIEL
NY
01
—
2801H1
EMPIRE BLUE CROSS AND BLUE SHIELD
—
01
—
335200101
HEALTHPLUS
NY
01
—
5C6359
HEALTH NET OF NORTHEAST
CA
01
—
KS531
OXFORD
NY
Enumeration date
03/24/2008
Last updated
11/24/2010
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