Provider Demographics
NPI:1497783435
Name:LEE, CATHERINE N (DPM)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:N
Last Name:LEE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 E 86TH STREET
Mailing Address - Street 2:1N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-1024
Mailing Address - Country:US
Mailing Address - Phone:212-717-4530
Mailing Address - Fax:212-996-5707
Practice Address - Street 1:108 E 86TH STREET
Practice Address - Street 2:1N
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-1024
Practice Address - Country:US
Practice Address - Phone:212-717-4530
Practice Address - Fax:212-996-5707
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005793-01213E00000X
NYN005793213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02516672Medicaid
NY5141980001Medicare NSC
NY02516672Medicaid
NYU84386Medicare UPIN