Healthcare Provider Details

I. General information

NPI: 1568041937
Provider Name (Legal Business Name): EDWARD CHRISTOPHER DEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: EDWARD CHRISTOPHER DEE

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 YORK AVE
NEW YORK NY
10065-6007
US

IV. Provider business mailing address

401 E 84TH ST APT 6C
NEW YORK NY
10028-6269
US

V. Phone/Fax

Practice location:
  • Phone: 212-639-2000
  • Fax:
Mailing address:
  • Phone: 203-606-7018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number343683
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: