Provider Demographics
NPI:1558443747
Name:LEE, DAVID S (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:340 E SADDLE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:UPPER SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-2123
Mailing Address - Country:US
Mailing Address - Phone:718-405-8238
Mailing Address - Fax:718-405-8292
Practice Address - Street 1:MONTEFIORE MEDICAL PARK
Practice Address - Street 2:1575 BLONDELL AVENUE, STE. 125
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461
Practice Address - Country:US
Practice Address - Phone:718-405-8238
Practice Address - Fax:718-405-8292
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2012-08-29
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Provider Licenses
StateLicense IDTaxonomies
NY187953208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery