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NPI Code Detail

MEDICARE: DR. LEE R CHASEN PHD

MEDICARE:  DR. LEE R CHASEN  PHD
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
1101YM0800XMental Health Counselor0004831NY

General Provider Information

NPI Number : 1932423670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEE R CHASEN PHD
Provider Business Mailing Address
First Line : 34 LITTLE EAST NECK RD S
Second Line :
City : BABYLON
State : NY
Zip : 11702-3208
Country : US
Telephone Number : 631-321-6675
Fax Number :
Provider Business Practice Location Address
First Line : 34 LITTLE EAST NECK RD S
Second Line :
City : BABYLON
State : NY
Zip : 11702-3208
Country : US
Telephone Number : 631-321-6675
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2010
Last Update Date : 03/24/2010

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Directions to “ DR. LEE R CHASEN PHD” Practice Location

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