Dr. Theodore C Lee, M.D.
Internal Medicine in Jamaica, NY. Individual provider (NPI-1).
NPI number1154550176
StatusActive
Last updated in NPPESJul 12, 2009
Details
- NPI
- 1154550176
- Entity type
- Individual (NPI-1)
- Name
- Dr. Theodore C Lee
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2009
- Last updated
- Jul 12, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 168629 | NY | Yes |
Practice location
8035 189th StJamaica, NY 11423-1034
Phone 718-776-1537
Mailing address
8035 189th StJamaica, NY 11423-1034
Phone 718-776-1537
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