Provider Demographics
NPI:1750301305
Name:LEE, WEI-NCHIH (MD)
Entity Type:Individual
Prefix:
First Name:WEI-NCHIH
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 GRASSLANDS RD
Mailing Address - Street 2:DEPT OF MEDICINE-MUNGER PAVILION
Mailing Address - City:VALHALLA
Mailing Address - State:NY
Mailing Address - Zip Code:10595-1652
Mailing Address - Country:US
Mailing Address - Phone:914-493-8370
Mailing Address - Fax:914-594-4434
Practice Address - Street 1:95 GRASSLANDS RD
Practice Address - Street 2:DEPT OF MEDICINE-MUNGER PAVILION
Practice Address - City:VALHALLA
Practice Address - State:NY
Practice Address - Zip Code:10595-1652
Practice Address - Country:US
Practice Address - Phone:914-493-8370
Practice Address - Fax:914-594-4434
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY206426207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
2078592OtherFIRST HEALTH
21200268002OtherBEECHSTREET
P1949783OtherOXFORD
NY01955646Medicaid
133277785OtherMULTIPLAN
389291OtherMVP
5316946OtherCIGNA
110244069OtherRAILROAD MEDICARE
1938236-05OtherUNITED HEALTHCARE
2509324OtherGHI
LW4164OtherATLANTIS
000009421052OtherPHCS
5C6220OtherHEALTHNET
7106049OtherAETNA
51599OtherGHIHMO
133277785OtherMAGNACARE