Provider Demographics
NPI:1386749778
Name:LEE, ANDREW SING (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:SING
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 1:55 WHITE ST
Mailing Address - Street 2:APT 1B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-3579
Mailing Address - Country:US
Mailing Address - Phone:212-219-9652
Mailing Address - Fax:
Practice Address - Street 1:55 WHITE STREET
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-3579
Practice Address - Country:US
Practice Address - Phone:212-219-9652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYA149678207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNP564OtherOXFORD HEALTH PLANS
NY00709339Medicaid
NY73A372Medicare ID - Type Unspecified
NY00709339Medicaid