MEDICARE: HELEN LEE DPT

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	225100000X	Physical Therapist	035375	NY

General Provider Information

NPI Number	:	1790025211
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN LEE DPT

Provider Business Mailing Address
First Line	:	1385 BOSTON POST RD
Second Line	:
City	:	LARCHMONT
State	:	NY
Zip	:	10538-3933
Country	:	US
Telephone Number	:	914-315-1800
Fax Number	:	914-315-1799

Provider Business Practice Location Address
First Line	:	200 PARK AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10166-0005
Country	:	US
Telephone Number	:	212-953-9494
Fax Number	:	212-682-2013

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

Provider Enumeration Date	:	02/20/2013
Last Update Date	:	12/09/2013

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Directions to “ HELEN LEE DPT” Practice Location

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