Provider Demographics
NPI:1104321066
Name:HE, LINDSAY ANN (MD)
Entity type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:ANN
Last Name:HE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LINDSAY
Other - Middle Name:ANN
Other - Last Name:PENZEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:199 2ND ST APT E508
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-6002
Mailing Address - Country:US
Mailing Address - Phone:952-456-1468
Mailing Address - Fax:
Practice Address - Street 1:350 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4908
Practice Address - Country:US
Practice Address - Phone:516-763-4764
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-23
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY309977208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics