MEDICARE: DR. ERIC 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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	MD17795	HI
2	208VP0014X	Interventional Pain Medicine Physician	264765	NY

General Provider Information

NPI Number	:	1629225032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC LEE

Provider Business Mailing Address
First Line	:	PO BOX 182255
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43218-2255
Country	:	US
Telephone Number	:	775-674-5632
Fax Number	:	775-322-4956

Provider Business Practice Location Address
First Line	:	139 E 57TH ST FL 2
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-2102
Country	:	US
Telephone Number	:	212-203-2813
Fax Number	:	646-607-9061

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2008
Last Update Date	:	02/08/2020

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Directions to “ DR. ERIC LEE ” Practice Location

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