Individual provider · Type 1 NPI
Michelle Jade Lee, PA-C
Medical Physician Assistant · New York, NY
NPI number
1396459988
Active
Practice location
1090 Amsterdam Ave Ste 10A
New York, NY 10025-1737
Fax (212) 523-4720
Mailing address
1 Gustave L Levy Pl Dept Box 1259
New York, NY 10029-6504
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 029287 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1396459988
Michelle Jade Lee, PA-C's National Provider Identifier is 1396459988, issued on Jan 9, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New York, NY. The record was last updated on Aug 14, 2025.