Healthcare Provider Details

I. General information

NPI: 1083355200
Provider Name (Legal Business Name): STEVEN LEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2022
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 DELANCEY ST
NEW YORK NY
10002-3202
US

IV. Provider business mailing address

108 DELANCEY ST
NEW YORK NY
10002-3202
US

V. Phone/Fax

Practice location:
  • Phone: 212-677-2157
  • Fax: 212-982-2792
Mailing address:
  • Phone: 212-677-2157
  • Fax: 212-982-2792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number339539
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: