{
"Npi": {
"NPI": "1447811336",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "LEE PODIATRY PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5 ANDERSON ST APT 201",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW ROCHELLE",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "10801-6454",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "917-832-0408",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "12 N 7TH AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MOUNT VERNON",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "10550-2026",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "914-361-6918",
"PracticeLocationAddressFaxNumber": "914-664-2873",
"EnumerationDate": "06/22/2019",
"LastUpdateDate": "06/22/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "LEE",
"AuthorizedOfficialFirstName": "DAE",
"AuthorizedOfficialMiddleName": "YONG",
"AuthorizedOfficialTitle": "PODIATRIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "917-832-0408",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP1100X",
"TaxonomyName": "Podiatric Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}