Individual
KENNY DERKANG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 N VILLAGE AVE STE 201, ROCKVILLE CENTRE, NY 11570-1001
(516) 900-7922
Mailing address
2000 N VILLAGE AVE STE 201, ROCKVILLE CENTRE, NY 11570-1001
(516) 900-7922
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
318696
NY
Other
Enumeration date
03/28/2016
Last updated
07/02/2023
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