Individual
ADA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
STONY BROOK CHILDREN'S HOSPITAL, DEPARTMENT OF PEDIATRICS, HSC T-11, ROOM 080, STONY BROOK, NY 11794-8111
(631) 444-8115
(631) 444-6045
Mailing address
101 NICOLLS RD, HSC T11-080, STONY BROOK, NY 11794
(631) 444-8115
(631) 444-6045
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
288914
NY
2080P0206X
Pediatric Gastroenterology Physician
Primary
288914
NY
Other
Enumeration date
05/07/2014
Last updated
09/08/2023
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