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NPI 1780479410

NPI 1780479410 : CINDY Y LEE DMD, P.C. : LONG ISLAND CITY, NY

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General NPI Number Information
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    NPI Number           |    1780479410
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    Entity Type          |    Organization 
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    Legal Business Name  |    CINDY Y LEE DMD, P.C. 
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Dates
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    Enumeration Date     |    04/12/2025
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    Last Update Date     |    04/12/2025
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Provider Practice Location Address
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    Address Line         |    533 48TH AVE 
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    City                 |    LONG ISLAND CITY
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    State                |    NY
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    Zip                  |    11101-5605
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    Country              |    US
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    Telephone            |    929-733-0001
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    533 48TH AVE 
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    City                 |    LONG ISLAND CITY
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    State                |    NY
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    Zip                  |    11101-5605
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    Country              |    US
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    Telephone            |    929-733-0001
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |    DR. CINDY YAEBIN LEE 
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    Credential           |    DMD
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    Telephone            |    929-733-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223P0221X
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    Taxonomy Name        |    Pediatric Dentistry
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    License Number       |    
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    License Number State |    
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