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NPI Code Detail

MEDICARE: MR. LEE JOSEPH ROSS LCSW

MEDICARE: MR. LEE JOSEPH ROSS LCSW
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
1104100000XSocial Worker083977NY

General Provider Information

NPI Number : 1699094896
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LEE JOSEPH ROSS LCSW
Provider Business Mailing Address
First Line : 2400 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-4830
Country : US
Telephone Number : 718-257-5800
Fax Number : 845-765-9327
Provider Business Practice Location Address
First Line : 2400 LINDEN BLVD
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-4830
Country : US
Telephone Number : 718-257-5800
Fax Number : 845-765-9327
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2010
Last Update Date : 03/11/2026

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