Lee, Brian Thomas

Lee, Brian Thomas is an individual health care provider with primary practice located at 310 Taughannock Blvd , Ithaca NY 14850-3251. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Lee, Brian Thomas can be contacted via phone (607) 252-3500.

Contact Information

Primary practice address
310 Taughannock Blvd Ithaca NY 14850-3251
Fax: (607) 252-3505
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 026116-1 New York

Profile Details

NPI number 1376866269
LBN Legal business name Lee, Brian Thomas
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2010
Last updated Mar 5th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376866269 NPPES
New York MEDICAID 00332729

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