Lee, Kevin S

Lee, Kevin S is an individual health care provider with primary practice located at 1649 Deer Park Avenue , Deer Park NY 11729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lee, Kevin S can be contacted via phone (631) 667-8178.

Contact Information

Primary practice address
1649 Deer Park Avenue Deer Park NY 11729
Phone: (631) 667-8178
Fax: (631) 667-3859
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 186405 New York

Profile Details

NPI number 1003976077
LBN Legal business name Lee, Kevin S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Jul 8th, 2007 - about 19 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 1003976077 NPPES
New York MEDICAID 01665998

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