National Provider Identifier
Desean Lee
Desean Lee is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Elmira, NY and a listed phone number of (607) 737-4100.
Profile Overview
- NPI
- 1366293979
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 01, 2024
- Last Updated
- April 25, 2024
Practice Location
- 600 Roe Ave # 14905
- Elmira, NY 14905-1629
Phone: (607) 737-4100
Mailing Address
- 1821 Fawn Dr
- Williamstown, NJ 08094-3493
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1366293979
- Entity Type
- Individual
- Last Name
- Lee
- First Name
- Desean
- Mailing Street Address
- 1821 Fawn Dr
- Mailing City
- Williamstown
- Mailing State
- NJ
- Mailing ZIP Code
- 08094-3493
- Mailing Country
- US
- Mailing Phone
- (562) 277-4100
- Practice Street Address
- 600 Roe Ave # 14905
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 737-4100
- Enumeration Date
- April 01, 2024
- Last Updated
- April 25, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- April 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)