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NPI Code Detail

MEDICARE: SUSANNE Y LEE MD

MEDICARE:   SUSANNE Y 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
1207R00000XInternal Medicine Physician172065NY

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 : 1922072115
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSANNE Y LEE MD
Provider Business Mailing Address
First Line : 7 EVERGREEN ROW
Second Line :
City : ARMONK
State : NY
Zip : 10504-2208
Country : US
Telephone Number : 914-273-3248
Fax Number :
Provider Business Practice Location Address
First Line : 700 WHITE PLAINS RD
Second Line : SUITE 22
City : SCARSDALE
State : NY
Zip : 10583-5063
Country : US
Telephone Number : 914-472-2080
Fax Number : 914-472-0274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2006
Last Update Date : 01/08/2009

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Directions to “ SUSANNE Y LEE MD” Practice Location

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