ROBERT CHANGRU LEE (NPI# 1124231550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124231550 |
| Entity Type | Individual |
| Full Name | ROBERT CHANGRU LEE |
| Credential | D.O. |
| Practice Address |
222 Station Plz N Suite 611 Mineola NY 11501-3808 |
| Practice Telephone | 5166632532 |
| Practice Fax Number | 5166632233 |
| Mailing Telephone | 5166632532 |
| Mailing Fax Number | 5166632233 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 237758 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292793 | Robert Lee | Peer Specialist | 835 West Main St, Rochester, NY 14611-2335 | 2019-12-17 |
| 1033773700 | Robert John Lee | Dentist | 3860 Grand Ave, Chino, CA 91710-5402 | 2019-04-27 |
| 1730689498 | Robert Lacgaspi Lee | Technician | 5586 La Perla Ct, Las Vegas, NV 89122-8390 | 2018-02-19 |
| 1508263138 | Robert Lee | Naturopath | 10 Cornwall Ln, Trumbull, CT 06611-2211 | 2014-11-25 |
| 1629484498 | Robert Lee II | Counselor | 525 Nw Lake Whitney Pl Ste 102&103, Port Saint Lucie, FL 34986-1605 | 2014-07-01 |
| 1679839385 | Robert Lee | Psychiatry & Neurology | 23041 Avenida De La Carlota, Laguna Hills, CA 92653-1511 | 2012-04-06 |
| 1801180807 | Robert Lee | Dermatology | 2438 N Ponderosa Dr Ste C105, Camarillo, CA 93010-2465 | 2011-06-07 |
| 1780900522 | Robert Seungmin Lee | Chiropractor | 2 Comet Rd, Syosset, NY 11791-6909 | 2010-04-19 |
| 1528291267 | Robert Ken Lee | Optometrist | 1040b East Imperial Highway, Brea, CA 92821 | 2009-08-28 |
| 1912141169 | Robert M Lee | Acupuncturist | 466 W Summerfield Cir, Anaheim, CA 92802-4778 | 2009-04-30 |
| Street Address |
222 STATION PLZ N SUITE 611 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334876 | Kevin John Curley Jr. | Internal Medicine | 222 Station Plz N, Suite 310, Mineola, NY 11501-3808 | 2005-05-27 |
| 1962024307 | Mohamed Moussa | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2020-05-08 |
| 1588285399 | Mitchell Pawlak | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2020-05-04 |
| 1295355691 | Lauren Bellavia | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2020-04-26 |
| 1821618554 | Alyssa Sherwill | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2020-04-22 |
| 1578121257 | Allison Ariniello | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2019-05-29 |
| 1376109397 | Joaquin Alejandro Cagliani | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Ste 300, Mineola, NY 11501-3893 | 2019-05-15 |
| 1013470459 | Anuj A Patel | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2019-04-11 |
| 1063974236 | Christine Nwaiser | Student in an Organized Health Care Education/Training Program | 222 Station Plz N, Mineola, NY 11501-3800 | 2019-04-04 |
| 1194208819 | Judi Mary Thomas | Physician Assistant | 222 Station Plz N, Mineola, NY 11501-3800 | 2018-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023453107 | Estela De Los Angeles Noyola | Pediatrics | 259 1st St Dept Of, Mineola, NY 11501-3957 | 2013-05-02 |
| 1053653766 | Julie Weiser-shlefstein | Pediatrics | 200 County Seat Drive, Mineola, NY 11501 | 2013-03-20 |
| 1225109671 | Luis E Martinez Sr. | Pediatrics | 251 Emory Rd, Mineola, NY 11501 | 2006-11-09 |
| 1710063920 | Elissa Hope Rubin | Pediatrics | 77 Jericho Tpke, Suite 175, Mineola, NY 11501-2984 | 2006-10-31 |
| 1184700395 | Deborah Saunders | Pediatrics | 77 Jericho Turnpike, Suite 175, Mineola, NY 11501-2984 | 2006-10-31 |
| 1023191673 | Louise Marie Castiglia | Pediatrics | 156 First Street, Mineola, NY 11501 | 2006-10-24 |
| 1518048750 | Omar Porfirio Aviles | Pediatrics | 161 Saville Road, Mineola, NY 11501-2341 | 2006-10-17 |
| 1184713638 | Gerald Ente | Pediatrics | 344 1st St, Mineola, NY 11501-3733 | 2006-10-12 |
| 1063942068 | Jennifer Moody | Pediatrics | 259 1st St, Mineola, NY 11501-3957 | 2017-06-13 |
| 1225587793 | Samuel Park Md, Pllc | Pediatrics | 160 1st St Unit 551, Mineola, NY 11501-5025 | 2016-09-26 |
| Find all providers in MINEOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.