Healthcare Provider Details

I. General information

NPI: 1144564139
Provider Name (Legal Business Name): SER YEE LEE M.D, M.SC, F.R.C.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/15/2012
Last Update Date: 11/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E 68TH ST STARR 8
NEW YORK NY
10065-4870
US

IV. Provider business mailing address

1330 1ST AVE APT 1306
NEW YORK NY
10021-4742
US

V. Phone/Fax

Practice location:
  • Phone: 917-374-3205
  • Fax:
Mailing address:
  • Phone: 917-374-3205
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberP86328
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberP86328
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: