Healthcare Provider Details

I. General information

NPI: 1366563652
Provider Name (Legal Business Name): STEVEN JOESPH LEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 W. 19TH ST. SUITE THFB
NEW YORK NY
10011
US

IV. Provider business mailing address

130 W. 19TH ST. SUITE THFB
NEW YORK NY
10011
US

V. Phone/Fax

Practice location:
  • Phone: 212-366-0499
  • Fax: 212-366-5770
Mailing address:
  • Phone: 212-366-0499
  • Fax: 212-366-5770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number205361
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number205361
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: