KATHREEN PORTIA LEE


Address: 101 Nicolls Rd, Stony Brook, NY 11794-4206
Phone: 6316381421

KATHREEN PORTIA LEE (NPI# 1639304132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639304132
Entity Type Individual
Full Name KATHREEN PORTIA LEE
Credential MD
Practice Address 101 Nicolls Rd
Stony Brook
NY 11794-4206
Mailing Address 3400 Spruce St
One Maloney
Philadelphia
PA 19104-4206
Practice Telephone 6316381421
Mailing Telephone 2156626156
Enumeration Date 2009-05-28
Last Update Date 2018-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208C00000X Colon & Rectal Surgery 290326 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 101 NICOLLS RD
City STONY BROOK
State NY
Zip Code 11794-4206

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174511760 Monika Isabela Woroniecka Allergy & Immunology 101 Nicolls Rd, Stony Brook, NY 11794-0001 2005-10-08
1245830082 Dorothy E Gozdziak Registered Nurse 101 Nicolls Rd, Stony Brook, NY 11794-0001 2020-10-30
1366041907 Christine Morgan Registered Nurse 101 Nicolls Rd, Stony Brook, NY 11794-0001 2020-10-24
1235736240 Glenn Phillip Schiotis Jr. Pharmacist 101 Nicolls Rd, Stony Brook, NY 11794-0001 2020-10-02
1508470477 Tomas Liboreiro Nurse Practitioner 101 Nicolls Rd, Stony Brook, NY 11794-0001 2020-09-08
1881211266 Valerie Marie Birmingham Nurse Anesthetist, Certified Registered 101 Nicolls Rd, Stony Brook, NY 11794-0001 2020-07-01
1841816303 Richard S Menjivar General Acute Care Hospital 101 Nicolls Rd, Stony Brook, NY 11794-0001 2020-06-22
1801419528 Jamie Rachel Moore Registered Nurse 101 Nicolls Rd, Stony Brook, NY 11794-0001 2020-05-28
1871114108 Samantha Dunn Student in an Organized Health Care Education/Training Program 101 Nicolls Rd, Stony Brook, NY 11794-0001 2020-04-28
1750901294 Samantha Ann Morganelli Student in an Organized Health Care Education/Training Program 101 Nicolls Rd, Stony Brook, NY 11794-0001 2020-04-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619506714 Ryan John Kottmeier Physician Assistant 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 2020-04-02
1699302109 Michael Trentalange Student in an Organized Health Care Education/Training Program Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 2020-03-25
1164985156 Lauren Kate Harris Student in an Organized Health Care Education/Training Program Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 2019-04-08
1851851448 Kathy Tin Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 2019-03-21
1174083703 Arham Khan Student in an Organized Health Care Education/Training Program Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 2019-03-20
1396221982 Aman Bhojani Student in an Organized Health Care Education/Training Program Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 2018-07-17
1699265629 Belliny Phaeton Student in an Organized Health Care Education/Training Program Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-15
1629568969 Rachel Herold Student in an Organized Health Care Education/Training Program Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 2018-05-11
1598254419 Nora Ann Diraimondo Nurse Practitioner Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 2018-05-07
1386140705 Ryan Christopher Corn Student in an Organized Health Care Education/Training Program Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 2018-04-04
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Taxonomy Information

Taxonomy Code 208C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Colon & Rectal Surgery

Taxonomy Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285861849 Paula Irina Denoya Colon & Rectal Surgery Hsc T19 020, Stony Brook, NY 11794-0001 2009-06-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477075299 Colorectal Surgery Services Pllc Colon & Rectal Surgery 2200 Northern Blvd Ste 210, Greenvale, NY 11548 2017-07-13
1083157309 Gadangi Incorporated Colon & Rectal Surgery 2583 Ocean Ave Ste 1r, Brooklyn, NY 11229-4575 2016-11-18
1831468966 Slrhc Faculity Practice Colon & Rectal Surgery 425 W 59th St Ste 7b, New York, NY 10019-8022 2011-12-19
1396027207 Joseph David Mills Jr. Colon & Rectal Surgery 1150 Youngs Rd Ste 203, Williamsville, NY 14221-8024 2011-09-16
1386934917 Giovanni Bonomo Colon & Rectal Surgery 256 Mason Ave Bldg C3, Staten Island, NY 10305-3408 2011-04-16
1508189226 Garden City Colon & Rectal Surgical Practice, P.C. Colon & Rectal Surgery 1075 Franklin Ave., Garden City, NY 11530-2930 2010-03-09
1962655167 Ilya Badalov Physician PC Colon & Rectal Surgery 13511 78th Dr, Flushing, NY 11367-3235 2008-10-31
1194981506 Andre Da Luz Moreira Colon & Rectal Surgery 530 1st Ave Ste 7v, New York, NY 10016-6402 2008-08-05
1861671653 Marian Fleischer Colon & Rectal Surgery 9707 Fourth Avenue, Brooklyn, NY 11209 2007-10-29
1710023031 Advanced Colon and Rectal Surgery LLC Colon & Rectal Surgery 510 Broadhollow Road, Suite 307, Melville, NY 11747-3710 2007-01-30
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Competitor

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City STONY BROOK
Zip Code 11794

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Dataset Information

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.

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