Jason Lee, PA-C
Physician Assistant in Brooklyn, NY. Individual provider (NPI-1).
NPI number1760080378
StatusActive
Last updated in NPPESApr 19, 2023
Details
- NPI
- 1760080378
- Entity type
- Individual (NPI-1)
- Name
- Jason Lee
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2020
- Certification date
- Apr 19, 2023
- Last updated
- Apr 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 026505 | NY | Yes |
Practice location
506 6th StBrooklyn, NY 11215-3609
Phone 718-780-3000
Mailing address
506 6th StBrooklyn, NY 11215-3609
Phone 718-780-3000
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