Provider Demographics
NPI:1861899684
Name:LEE, HOWARD (DPT)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 HANOVER SQ
Mailing Address - Street 2:PHYSICAL THERAPY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10005-3510
Mailing Address - Country:US
Mailing Address - Phone:212-248-3030
Mailing Address - Fax:
Practice Address - Street 1:10 HANOVER SQ
Practice Address - Street 2:PHYSICAL THERAPY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-3510
Practice Address - Country:US
Practice Address - Phone:212-248-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-21
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038402-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic