Provider Demographics
NPI:1699179945
Name:LEE, TSIU HAR (MA)
Entity Type:Individual
Prefix:MS
First Name:TSIU
Middle Name:HAR
Last Name:LEE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10210 66TH RD
Mailing Address - Street 2:3A
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-2000
Mailing Address - Country:US
Mailing Address - Phone:347-922-8492
Mailing Address - Fax:
Practice Address - Street 1:10210 66TH RD
Practice Address - Street 2:3A
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-2000
Practice Address - Country:US
Practice Address - Phone:347-922-8492
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-15
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY47-2026098OtherIRS EIN