MEDICARE: MATT LEE ACUPUNCTURE PC

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	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1831087352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATT LEE ACUPUNCTURE PC

Provider Business Mailing Address
First Line	:	2 W 45TH ST STE 404
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-4265
Country	:	US
Telephone Number	:	646-262-5635
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 W 45TH ST STE 404
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10036-4265
Country	:	US
Telephone Number	:	646-262-5635
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MATTHEW LEE
Credential	:
Telephone Number	:	646-262-5635

Provider Enumeration Date	:	06/24/2025
Last Update Date	:	05/28/2026

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Directions to “MATT LEE ACUPUNCTURE PC ” Practice Location

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