Chen Lin Lee, NP | |
4802 10th Ave, Brooklyn, NY 11219-2916 | |
(718) 283-5243 | |
Not Available |
Full Name | Chen Lin Lee |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 4802 10th Ave, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215406046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WM0705X | Registered Nurse - Medical-surgical | 620401 (New York) | Secondary |
363LF0000X | Nurse Practitioner - Family | F342820 (New York) | Primary |
Entity Name | Maimonides Faculty Practice Plan |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
Mailing Address | Practice Location Address |
---|---|
Chen Lin Lee, NP 1955 79th St, Brooklyn, NY 11214-1810 Ph: (917) 346-7177 | Chen Lin Lee, NP 4802 10th Ave, Brooklyn, NY 11219-2916 Ph: (718) 283-5243 |
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