Individual provider · Type 1 NPI

John Lee, PA

Medical Physician Assistant · Bronx, NY

NPI number 1043397680 Active

Practice location

1276 Fulton Ave, Psychiatry - Mmtp
Bronx, NY 10456-3402

Fax (718) 503-7751

Mailing address

5836 Fieldston Rd, Private House
Bronx, NY 10471-2212

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X363AMO700X (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1043397680

John Lee, PA's National Provider Identifier is 1043397680, issued on Nov 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bronx, NY. The record was last updated on Jul 8, 2007.