MEDICARE: MS. APRIL MARIE LEE NPP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	403161	NY
2	163W00000X	Registered Nurse	517402	NY

General Provider Information

NPI Number	:	1972135481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. APRIL MARIE LEE NPP

Provider Business Mailing Address
First Line	:	100 MARINERS WAY
Second Line	:
City	:	PORT JEFFERSON
State	:	NY
Zip	:	11777-1848
Country	:	US
Telephone Number	:	631-509-7488
Fax Number	:	631-778-8004

Provider Business Practice Location Address
First Line	:	100 MARINERS WAY STE 1
Second Line	:
City	:	PORT JEFFERSON
State	:	NY
Zip	:	11777-1848
Country	:	US
Telephone Number	:	631-509-7488
Fax Number	:	631-778-8004

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

Provider Enumeration Date	:	02/12/2020
Last Update Date	:	01/05/2026

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