Individual provider · NPI-1

Dr. James Jin Lee, M.D.

Family Medicine · South Richmond Hill, NY

NPI number1437590957
StatusActive
Last updated in NPPESNov 9, 2017

Details

NPI
1437590957
Entity type
Individual (NPI-1)
Name
Dr. James Jin Lee
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 12, 2013
Last updated
Nov 9, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine286295NYYes
207Q00000X Family MedicineR73721AZ

Practice location

12506 101st Ave
South Richmond Hill, NY 11419-1412

Phone 718-849-2900

Mailing address

55 Water St Fl 12
New York, NY 10041-0004

Phone 646-680-2888 · Fax 516-542-5556

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