Individual
WAYNE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-6722
Mailing address
46 HOMER ST, NORWALK, CT 06851-2908
(203) 846-0888
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
178019
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01277774
—
NY
Enumeration date
01/29/2007
Last updated
02/13/2012
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