Provider Demographics
NPI:1841569688
Name:LEE, DONALD F (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:F
Last Name:LEE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 MEMORIAL PL
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-2320
Mailing Address - Country:US
Mailing Address - Phone:516-267-7617
Mailing Address - Fax:516-267-7680
Practice Address - Street 1:200 MEMORIAL PL
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-2320
Practice Address - Country:US
Practice Address - Phone:516-267-7617
Practice Address - Fax:516-267-7680
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0107701103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool