Provider Demographics
NPI:1144678228
Name:LEE, NORMAN M (MBBS)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:M
Last Name:LEE
Suffix:
Gender:M
Credentials:MBBS
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Mailing Address - Street 1:1333 ROANOKE AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-3880
Mailing Address - Country:US
Mailing Address - Phone:631-591-3877
Mailing Address - Fax:631-591-3880
Practice Address - Street 1:1333 ROANOKE AVENUE
Practice Address - Street 2:SUITE 202
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-3880
Practice Address - Country:US
Practice Address - Phone:631-591-3877
Practice Address - Fax:631-591-3880
Is Sole Proprietor?:No
Enumeration Date:2016-05-30
Last Update Date:2024-10-16
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Provider Licenses
StateLicense IDTaxonomies
LA312662207R00000X, 207RP1001X
NY332910-01207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine