Individual
MICHAEL JERRY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13626 37TH AVE, FLUSHING, NY 11354-6533
(718) 886-1222
(718) 886-3903
Mailing address
125 WALKER ST FL 2, NEW YORK, NY 10013-4135
(212) 226-8866
(212) 226-2289
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
272737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03797564
—
NY
Enumeration date
05/05/2011
Last updated
10/29/2025
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