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Contact Information

NAM SOO LEE, MD
1726 CAMPBELL AVE
SCHENECTADY, NY12306
 Phone: 518-372-6557
 Fax: 518-372-3472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NAM SOO LEE · (Male)

NPI # 1588624829
Status Active
Credentials MD
Entity Individual
Enumeration date 03/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 133102
  • NY Medicaid 00561477
  • Other 000401636001 BLUE SHIELD
  • Other 10002697 CDPHP
  • Other 76E58 EMPIRE BC
  • Other 0404260006727 FIDELIS
  • Other 26103 MVP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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