Provider Demographics
NPI:1194804153
Name:HINDIN, LEE EBAN (MD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:EBAN
Last Name:HINDIN
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 1:10 BANK ST STE 830
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-1952
Mailing Address - Country:US
Mailing Address - Phone:914-435-7600
Mailing Address - Fax:
Practice Address - Street 1:1133 WESTCHESTER AVE STE N-006
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-3550
Practice Address - Country:US
Practice Address - Phone:914-539-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA040453002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
454571HIMedicare ID - Type Unspecified