MEDICARE: PEI-LEE EE 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	207L00000X	Anesthesiology Physician	236226	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	:	1831199504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PEI-LEE EE M.D.

Provider Business Mailing Address
First Line	:	355 84TH STREET
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209
Country	:	US
Telephone Number	:	917-887-8158
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 WILLIAM ST
Second Line	:	ANESTHESIA DEPARTMENT
City	:	NEW YORK
State	:	NY
Zip	:	10038-2612
Country	:	US
Telephone Number	:	212-312-5244
Fax Number	:

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	11/15/2016

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