Maxine Lee
Nurse Practitioner, Family in Flushing, NY. Individual provider (NPI-1).
NPI number1891221024
StatusActive
Last updated in NPPESMay 9, 2017
Details
- NPI
- 1891221024
- Entity type
- Individual (NPI-1)
- Name
- Maxine Lee
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2017
- Last updated
- May 9, 2017
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 |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F338423 | NY | Yes |
Other names
- Maxine Lee (Professional Name)
Practice location
13966 35th AveFlushing, NY 11354-3524
Phone 347-416-4108
Mailing address
13437 166th PlApt 4h
Jamaica, NY 11434-3852
Phone 718-978-0984
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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