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General NPI Number Information
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NPI Number | 1346360260
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Entity Type | Individual
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Provider Name | TONY LEE MD
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Gender | Male
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 300 COMMUNITY DR. DEPARTMENT OF RADIOLOGY
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City | MANHASSET
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State | NY
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Zip | 11030
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Country | US
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Telephone | 516-562-4834
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Fax |
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Provider Business Mailing Address
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Address Line | 270-05 76TH AVE DEPARTMENT OF RADIOLOGY, 2ND FLOOR
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City | NEW HYDE PARK
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State | NY
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Zip | 11040
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Country | US
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Telephone | 718-470-7000
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 234777-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | MD435983
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | MD435983
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD435983
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License Number State | PA
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