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NPI Code Detail

MEDICARE: WAI-KWAN I LEE MD

MEDICARE: WAI-KWAN I LEE MD
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
1207V00000XObstetrics & Gynecology Physician169992NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760421036
Entity Type Code : Individual
Provider Name (Legal Business Name) : WAI-KWAN I LEE MD
Provider Business Mailing Address
First Line : 2552 STEINWAY ST
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11103-3777
Country : US
Telephone Number : 718-777-6695
Fax Number :
Provider Business Practice Location Address
First Line : 2552 STEINWAY ST
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11103-3777
Country : US
Telephone Number : 718-777-6695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2006
Last Update Date : 03/21/2022

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Directions to “ WAI-KWAN I LEE MD” Practice Location

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