1750301305 NPI number — WEI-NCHIH LEE MD

Table of content: WEI-NCHIH LEE MD (NPI 1750301305)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750301305 NPI number — WEI-NCHIH LEE MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEE
Provider First Name:
WEI-NCHIH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1750301305
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/04/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
95 GRASSLANDS RD
Provider Second Line Business Mailing Address:
DEPT OF MEDICINE-MUNGER PAVILION
Provider Business Mailing Address City Name:
VALHALLA
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10595-1652
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-493-8370
Provider Business Mailing Address Fax Number:
914-594-4434

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
95 GRASSLANDS RD
Provider Second Line Business Practice Location Address:
DEPT OF MEDICINE-MUNGER PAVILION
Provider Business Practice Location Address City Name:
VALHALLA
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10595-1652
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-493-8370
Provider Business Practice Location Address Fax Number:
914-594-4434
Provider Enumeration Date:
07/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  206426 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2078592 . This is a "FIRST HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 21200268002 . This is a "BEECHSTREET" identifier . This identifiers is of the category "OTHER".
  • Identifier: P1949783 . This is a "OXFORD" identifier . This identifiers is of the category "OTHER".
  • Identifier: 01955646 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 133277785 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 389291 . This is a "MVP" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5316946 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 110244069 . This is a "RAILROAD MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1938236-05 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2509324 . This is a "GHI" identifier . This identifiers is of the category "OTHER".
  • Identifier: LW4164 . This is a "ATLANTIS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 000009421052 . This is a "PHCS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 5C6220 . This is a "HEALTHNET" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7106049 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 51599 . This is a "GHIHMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 133277785 . This is a "MAGNACARE" identifier . This identifiers is of the category "OTHER".




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