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Tracy Jae Won Lee, MD
Body Imaging Physician in Mineola, New York
NPI 1386688984

Tracy Jae Won Lee is a Body Imaging Physician based in New York, NY and is specialized in Body Imaging. Tracy Jae Won Lee practices in Mineola, NY and has the professional credentials of MD. The NPI Number for Tracy Jae Won Lee is 1386688984 and holds a License No. 230112 (New York).

The current practice location address for Tracy Jae Won Lee is 120 Mineola Blvd, Mineola, NY and can be reached out via phone at 516-663-4510 and via fax at 516-663-3698.

Location: 120 Mineola Blvd, Mineola, NY, 10087-7686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386688984
Provider Name
Tracy Jae Won Lee
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
120 Mineola Blvd, Mineola, NY, 10087-7686
Phone Number
516-663-4510
Fax Number
516-663-3698
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02730436 05 NY
institution
Provider Business Practice Location Address Details
Address
120 Mineola Blvd
City
Mineola
State
New York
Zip
11501-4073
Phone Number
516-663-4510
Fax Number
516-663-3698
person
Provider Business Mailing Address Details
Address
120 Mineola Blvd
City
Mineola
State
New York
Zip
11501-4073
Phone Number
516-663-4510
Fax Number
516-663-3698
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
230112 (New York)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
230112 (New York)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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