Patrick J Lee
Physician Assistant in Lake Grove, NY. Individual provider (NPI-1).
NPI number1861275596
StatusActive
Last updated in NPPESAug 16, 2023
Details
- NPI
- 1861275596
- Entity type
- Individual (NPI-1)
- Name
- Patrick J Lee
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2023
- Certification date
- Aug 16, 2023
- Last updated
- Aug 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 030409 | NY | Yes |
Practice location
12 English Ivy LnLake Grove, NY 11755-1847
Phone 559-321-3873
Mailing address
12 English Ivy LnLake Grove, NY 11755-1847
Phone 559-321-3873
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