MEDICARE: MS. SIN MEI LEE

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	225X00000X	Occupational Therapist	009278	NY

General Provider Information

NPI Number	:	1922369206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SIN MEI LEE

Provider Business Mailing Address
First Line	:	415 BEVERLEY RD
Second Line	:	6A
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3153
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 BEVERLEY RD
Second Line	:	6A
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3153
Country	:	US
Telephone Number	:	718-853-2810
Fax Number	:

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

Provider Enumeration Date	:	06/04/2012
Last Update Date	:	06/04/2012

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