Provider Demographics
NPI:1144397738
Name:LEE, ELIZABETH Y (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:Y
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YUEQING
Other - Middle Name:
Other - Last Name:LI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:340 E 93RD ST
Mailing Address - Street 2:APT 25 E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-5547
Mailing Address - Country:US
Mailing Address - Phone:212-860-1096
Mailing Address - Fax:212-860-1096
Practice Address - Street 1:1879 MADISON AVE
Practice Address - Street 2:DEPT OF ANESTHESIOLOGY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-2709
Practice Address - Country:US
Practice Address - Phone:212-423-4075
Practice Address - Fax:212-423-1446
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY234164-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist