MEDICARE: HEATHER W LEE BA

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	183500000X	Pharmacist	048053-1	NY

General Provider Information

NPI Number	:	1720260771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER W LEE BA

Provider Business Mailing Address
First Line	:	243 E 60TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-1450
Country	:	US
Telephone Number	:	212-794-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	243 E 60TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-1450
Country	:	US
Telephone Number	:	212-794-7200
Fax Number	:

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

Provider Enumeration Date	:	12/01/2007
Last Update Date	:	06/09/2026

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Directions to “ HEATHER W LEE BA” Practice Location

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