Provider Demographics
NPI:1326078460
Name:LEE, CHRISTOPHER H (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:H
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CLARENDON PL
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2418
Mailing Address - Country:US
Mailing Address - Phone:646-872-9515
Mailing Address - Fax:914-948-0041
Practice Address - Street 1:2422 CENTRAL PARK AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10710-1125
Practice Address - Country:US
Practice Address - Phone:914-779-2995
Practice Address - Fax:914-779-3266
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227375207R00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02644806Medicaid
I21943Medicare UPIN
0820J1Medicare ID - Type Unspecified
NYA400155742Medicare PIN