Lee, Charis A

Lee, Charis A is an individual health care provider with primary practice located at 1815 S Clinton Ave Ste 620 , Rochester NY 14618-5723. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Lee, Charis A can be contacted via phone (585) 319-5354.

Contact Information

Primary practice address
1815 S Clinton Ave Ste 620 Rochester NY 14618-5723
Phone: (585) 319-5354
Fax: (833) 450-5339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 222256 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 222256 New York

Profile Details

NPI number 1164422317
LBN Legal business name Lee, Charis A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Mar 20th, 2024 - about 2 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 1164422317 NPPES
New York MEDICAID 02269363
New York Other P010222256
New York Other 109781BJ
New York Other 7559460

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