Provider Demographics
NPI:1700838760
Name:ROOT, LEE PAUL (MD FACC)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:PAUL
Last Name:ROOT
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Gender:M
Credentials:MD FACC
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Mailing Address - Street 1:20 GRAND STREET
Mailing Address - Street 2:3RD FL
Mailing Address - City:WARWICK
Mailing Address - State:NY
Mailing Address - Zip Code:10990-1035
Mailing Address - Country:US
Mailing Address - Phone:845-987-3901
Mailing Address - Fax:845-987-5979
Practice Address - Street 1:972 ROUTE 45
Practice Address - Street 2:SUITE 103
Practice Address - City:POMONA
Practice Address - State:NY
Practice Address - Zip Code:10970
Practice Address - Country:US
Practice Address - Phone:845-362-1500
Practice Address - Fax:845-362-1600
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2016-08-03
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Provider Licenses
StateLicense IDTaxonomies
NY183086207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease