Provider Demographics
NPI:1679763692
Name:LEE, GREGORY TSE (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:TSE
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:170 WILLIAM STREET
Mailing Address - Street 2:NY DOWNTOWN HOSPITAL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038
Mailing Address - Country:US
Mailing Address - Phone:212-312-5170
Mailing Address - Fax:212-312-5142
Practice Address - Street 1:170 WILLIAM STREET, DEPT. OF RADIOLOGY
Practice Address - Street 2:NY DOWNTOWN HOSPITAL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038
Practice Address - Country:US
Practice Address - Phone:212-312-5170
Practice Address - Fax:212-312-5142
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-26
Last Update Date:2012-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA930692085R0202X
NY2522552085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty