MEDICARE: STEVE LEE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	25MA07712600	NJ
2	208200000X	Plastic Surgery Physician	209574	NY

General Provider Information

NPI Number	:	1710959572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVE LEE MD

Provider Business Mailing Address
First Line	:	3916 PRINCE ST
Second Line	:	SUITE 153
City	:	FLUSHING
State	:	NY
Zip	:	11354-5361
Country	:	US
Telephone Number	:	718-886-8996
Fax Number	:	718-679-9292

Provider Business Practice Location Address
First Line	:	3916 PRINCE ST
Second Line	:	SUITE 153
City	:	FLUSHING
State	:	NY
Zip	:	11354-5361
Country	:	US
Telephone Number	:	718-886-8996
Fax Number	:	718-679-9292

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	12/28/2015

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