Christopher Lee Medical P.c., | |
14 Clarendon Pl Scarsdale NY 10583-2418 | |
(646) 872-9515 | |
Not Available |
Full Name | Christopher Lee Medical P.c., |
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Speciality | Physical Medicine & Rehabilitation |
Location | 14 Clarendon Pl, Scarsdale, New York |
Authorized Official Name and Position | Christopher Lee (PHYSICIAN) |
Authorized Official Contact | 6468729515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christopher Lee Medical P.c., 14 Clarendon Pl Scarsdale NY 10583-2418 Ph: (646) 872-9515 | Christopher Lee Medical P.c., 14 Clarendon Pl Scarsdale NY 10583-2418 Ph: (646) 872-9515 |
NPI Number | 1174680151 |
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Provider Enumeration Date | 01/02/2007 |
Last Update Date | 11/25/2015 |
Medicare PECOS PAC ID | 9931101813 |
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Medicare Enrollment ID | O20070206000209 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174680151 | NPI | - | NPPES |
02644806 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 227375 (New York) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 227375 (New York) | Primary |
Provider Name | Christopher Lee |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1326078460 PECOS PAC ID: 0648236281 Enrollment ID: I20041206001019 |
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