Provider Demographics
NPI:1215017165
Name:LEE, NAMHI (MD)
Entity Type:Individual
Prefix:
First Name:NAMHI
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 WEST 46TH ST
Mailing Address - Street 2:2FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036
Mailing Address - Country:US
Mailing Address - Phone:212-575-2175
Mailing Address - Fax:
Practice Address - Street 1:37 W 46TH ST
Practice Address - Street 2:2FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4123
Practice Address - Country:US
Practice Address - Phone:212-575-2175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY208713207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine