MEDICARE: DR. BICH THUY LE M.D.

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	207Y00000X	Otolaryngology Physician	245447	NY

General Provider Information

NPI Number	:	1659595296
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BICH THUY LE M.D.

Provider Business Mailing Address
First Line	:	594 BROADWAY RM 501
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10012-3257
Country	:	US
Telephone Number	:	212-518-1785
Fax Number	:	212-518-1782

Provider Business Practice Location Address
First Line	:	594 BROADWAY RM 501
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10012-3257
Country	:	US
Telephone Number	:	212-518-1785
Fax Number	:	212-518-1782

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

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	03/02/2023

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