Provider Demographics
NPI:1780604868
Name:LEE, ARTHUR F (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:F
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 1:711 TROY SCHENECTADY RD STE 203
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2461
Mailing Address - Country:US
Mailing Address - Phone:518-782-3700
Mailing Address - Fax:518-782-3799
Practice Address - Street 1:2125 RIVER RD
Practice Address - Street 2:SUITE 202
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12309-1135
Practice Address - Country:US
Practice Address - Phone:518-346-9682
Practice Address - Fax:518-346-9693
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY191578207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY10001153OtherCDPHP
NY691841OtherEMPIRE BC
NY070216000056OtherFIDELIS
NY08288OtherMVP
NY000401264001OtherBSNENY
NY47343OtherGHI/HMO
NY200108OtherSENIOR WHOLE HEALTH
NY01410773Medicaid
NY5692297OtherAETNA
NY10001153OtherCDPHP
NY200108OtherSENIOR WHOLE HEALTH