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NPI Code Detail

MEDICARE: DR. SIU LEE D.D.S.

MEDICARE:  DR. SIU  LEE  D.D.S.
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
11223G0001XGeneral Practice Dentistry050170NY

Other Identifiers

General Provider Information

NPI Number : 1437241908
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SIU LEE D.D.S.
Provider Business Mailing Address
First Line : 60 MADISON AVE
Second Line : 5TH FLOOR
City : NEW YORK
State : NY
Zip : 10010-1600
Country : US
Telephone Number : 212-545-2400
Fax Number :
Provider Business Practice Location Address
First Line : 150 ESSEX ST
Second Line :
City : NEW YORK
State : NY
Zip : 10002-2301
Country : US
Telephone Number : 212-477-1120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 10/10/2023

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Directions to “ DR. SIU LEE D.D.S.” Practice Location

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