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NPI Code Detail

MEDICARE: DR. CHAU H LEE DO

MEDICARE:  DR. CHAU H LEE  DO
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
1174400000XSpecialist041791CT
2207V00000XObstetrics & Gynecology Physician251958-1NY

General Provider Information

NPI Number : 1407814080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHAU H LEE DO
Provider Business Mailing Address
First Line : 554 LARKFIELD RD
Second Line : SUITE 105
City : EAST NORTHPORT
State : NY
Zip : 11731-4205
Country : US
Telephone Number : 631-368-3800
Fax Number : 631-368-3802
Provider Business Practice Location Address
First Line : 554 LARKFIELD RD
Second Line : SUITE 105
City : EAST NORTHPORT
State : NY
Zip : 11731-4205
Country : US
Telephone Number : 631-368-3800
Fax Number : 631-368-3802
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 08/12/2013

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Directions to “ DR. CHAU H LEE DO” Practice Location

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