Lee, Jennifer S.

Lee, Jennifer S. is an individual health care provider with primary practice located at 115 Broadhollow Rd , Melville NY 11747-4992. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as her primary health care specialty. Lee, Jennifer S. can be contacted via phone (631) 591-9990.

Contact Information

Primary practice address
115 Broadhollow Rd Melville NY 11747-4992
Phone: (631) 591-9990
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 246939 New York

Profile Details

NPI number 1598924383
LBN Legal business name Lee, Jennifer S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2008
Last updated Apr 3rd, 2019 - about 5 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 1598924383 NPPES
New York MEDICAID 03328970

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