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Physician Compare National (NPI:1861422958)

HEALTHCARE PROVIDER: MARJORIE LEE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1861422958
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9133312937
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101026000033
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name LEE
Individual professional last name
Provider First Name MAJORIE
Individual professional first name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Individual professional's medical school
Graduation Year 1973
Individual professional's medical school graduation year
Primary Specialty PULMONARY DISEASE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 247 3RD AVE
Group Practice or individual's line 1 address
Line 2 Street Address RM 403
Group Practice or individual's line 2 address
City NEW YORK
Group Practice or individual's city
State NY
Group Practice or individual's state
Zip Code 100107455
Group Practice or individual's zip code (9 digits when available)
Phone Number 2125331185
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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