Organization
LION MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIMON XIAOCHONG LEE M.D. (AUTHORIZED OFFICIAL)
(917) 345-8840
Entity
Organization
Contact information
Practice address
3907 PRINCE ST, SUITE 5A, FLUSHING, NY 11354-5357
(718) 888-9530
(718) 888-9536
Mailing address
2 BEL AIR CT, MILLTOWN, NJ 08850-2183
(917) 345-8840
(732) 419-3737
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
209983
NY
Other
Enumeration date
11/12/2014
Last updated
11/15/2014
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