MEDICARE: DR. JOHNNY LEE 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	207RC0000X	Cardiovascular Disease Physician	203375	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1811950454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHNNY LEE M.D.

Provider Business Mailing Address
First Line	:	8 VANDERBILT DR
Second Line	:
City	:	LAKE SUCCESS
State	:	NY
Zip	:	11020-1117
Country	:	US
Telephone Number	:	212-532-0888
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 E 35TH ST
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10016-3823
Country	:	US
Telephone Number	:	212-532-0888
Fax Number	:

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

Provider Enumeration Date	:	04/06/2006
Last Update Date	:	11/12/2018

Similar Medicare Providers

1700840428 — JAMES MILTON RUBIN MD
Practice Location Address:

35 E 35TH ST , #202
NEW YORK, NY
10016-3823

Practice Phone: 212-685-4225
Practice Fax: 212-696-5682

1245294289 — STEVEN Z BRANDEIS M.D.
Practice Location Address:

35 E 35TH ST RM 200
NEW YORK, NY
10016-3823

Practice Phone: 212-696-5411
Practice Fax: 212-696-5906

1770540403 — PAUL M EHRLICH M.D.
Practice Location Address:

161 MADISON AVE. , SUITE 3A
NEW YORK, NY
10016-3823

Practice Phone: 212-685-4225
Practice Fax:

1740217033 — DARRELL SPENCER RIGEL MD
Practice Location Address:

35 E 35TH ST , STE 208
NEW YORK, NY
10016-3823

Practice Phone: 212-684-6140
Practice Fax: 212-698-5748

1447275904 — BABAR K RAO MD
Practice Location Address:

35 E 35TH ST , STE 208
NEW YORK, NY
10016-3823

Practice Phone: 212-684-6140
Practice Fax: 212-689-5748

1730193707 — RIGEL DERMATOLOGY PLLC
Practice Location Address:

35 E 35TH ST , STE 208
NEW YORK, NY
10016-3823

Practice Phone: 212-684-6140
Practice Fax: 212-689-5748

Directions to “ DR. JOHNNY LEE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.