Provider Demographics
NPI:1053428649
Name:LEE, WAI MAY (PT)
Entity type:Individual
Prefix:MS
First Name:WAI MAY
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:60 PITT STREET
Mailing Address - Street 2:APT. 4A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-3515
Mailing Address - Country:US
Mailing Address - Phone:917-749-3020
Mailing Address - Fax:
Practice Address - Street 1:24 5TH AVE
Practice Address - Street 2:APT. 1112
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-8858
Practice Address - Country:US
Practice Address - Phone:917-685-9334
Practice Address - Fax:212-228-2052
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017225225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY105342864Q49E1Medicare PIN