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NPI Code Detail

MEDICARE: MATTHEW LEE

MEDICARE:   MATTHEW  LEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist007457NY

General Provider Information

NPI Number : 1023614732
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW LEE
Provider Business Mailing Address
First Line : 13646 41ST AVE APT 7B
Second Line :
City : FLUSHING
State : NY
Zip : 11355-2481
Country : US
Telephone Number : 646-262-5635
Fax Number :
Provider Business Practice Location Address
First Line : 2 W 45TH ST STE 404
Second Line :
City : NEW YORK
State : NY
Zip : 10036-4265
Country : US
Telephone Number : 646-262-5635
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2020
Last Update Date : 05/28/2026

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Directions to “ MATTHEW LEE ” Practice Location

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