Lee, Jessica

Lee, Jessica is an individual health care provider with primary practice located at 200 Motor Pkwy Ste A2 , Hauppauge NY 11788-5112. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Lee, Jessica can be contacted via phone (631) 234-5666.

Contact Information

Primary practice address
200 Motor Pkwy Ste A2 Hauppauge NY 11788-5112
Phone: (631) 234-5666
Fax: (631) 234-0539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 274142 New York

Profile Details

NPI number 1083906747
LBN Legal business name Lee, Jessica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2011
Last updated Oct 8th, 2021 - about 4 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 1083906747 NPPES
New York MEDICAID 04003590

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