Moon Lee is a Clinical in Staten Island, New York. Moon Lee practices all healthcare services and medical treatments related to Clinical. The NPI Number for Moon Lee is 1528072600. The last update date is 2015-06-10.
Moon Lee's current location address is 38 Radigan Ave, Staten Island, New York. You can contact this provider via phone number 7189679145. The mailing address for Moon Lee is 38 Radigan Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Moon Lee |
|---|---|
| Address | 38 Radigan Ave, Staten Island, New York |
| Phone Number | 7189679145 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1528072600 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2015-06-10 |
Provider Mailing Address Detail
| Address | 38 Radigan Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103094212 |
| Phone Number | 7189679145 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 7336 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1879854 | NY | -- |
Post Comment/ Review Below
What is the Moon Lee's 1528072600?
The Moon Lee's NPI (National Provider Identifier) Number is 1528072600. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Moon Lee's facilities are geographically located?
The facilities of Moon Lee are physically situated at the following location: 38 Radigan Ave, Staten Island, NY, 103094212.
What is Moon Lee's area of expertise and its corresponding taxonomy classification?
The Moon Lee's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1528072600 to Moon Lee?
The Moon Lee received its 1528072600 assignment from the Centers for Medicare & Medicaid Services on 2006-07-27.
When was the information regarding Moon Lee, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Moon Lee, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-06-10.