DR. DONALD R LEE-EDWARDS (NPI# 1871852699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871852699 |
| Entity Type | Individual |
| Full Name | DR. DONALD R LEE-EDWARDS |
| Credential | PH.D,MD,LP |
| Practice Address |
255 Gordon St Staten Island NY 10304-1943 |
| Practice Telephone | 7185540744 |
| Practice Fax Number | 2063379412 |
| Mailing Telephone | 7185540744 |
| Mailing Fax Number | 2063379412 |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-05-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4053692 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI | 1710252127 | 01 |
| Street Address |
255 GORDON ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-1943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710252127 | Dr. Donald R Lee-edwards Ph.d, Lp | Clinic/Center | 255 Gordon St, Staten Island, NY 10304-1943 | 2012-03-19 |
| 1083055875 | Diane Owens | Technician, Pathology | 255 Gordon St, Suite Lb, Staten Island, NY 10304-1943 | 2013-07-09 |
| 1619212883 | Jefferson Taveras | Social Worker | 255 Gordon St, Staten Island, NY 10304-1943 | 2012-11-29 |
| 1801130489 | Thomas L Wilson | Registered Nurse | 255 Gordon St, Staten Island, NY 10304-1943 | 2012-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003311218 | Valentina Teresa Diglio | Psychologist | 1110 South Ave Ste 5, Staten Island, NY 10314-3403 | 2018-03-28 |
| 1407205842 | Neil B Madero | Psychologist | 67 Jackson St, Staten Island, NY 10304-2229 | 2016-06-07 |
| 1306210125 | Ife Landsmark | Psychologist | New Broadview Manor - 70 Father Capodanno Blvd, Staten Island, NY 10305 | 2015-11-17 |
| 1639578206 | Pakier Psychological Services P.C. | Psychologist | 1550 Richmond Ave Ste 203, Staten Island, NY 10314-1578 | 2014-08-19 |
| 1649511783 | Virginia Boga | Psychologist | 979 Lamont Ave, Staten Island, NY 10309-2207 | 2013-03-14 |
| 1053695072 | Shveta Mittal | Psychologist | 180 Four Corners Rd, Staten Island, NY 10304-1222 | 2011-10-10 |
| 1841571312 | Susan Merle Tyburczy | Psychologist | 152 Ross Ave, Staten Island, NY 10306-2952 | 2011-08-29 |
| 1194022004 | Lauriann Mancini | Psychologist | 28 Brookside Loop, Staten Island, NY 10309-4501 | 2011-02-12 |
| 1578865523 | Frances Adele Melendez | Psychologist | 797 Brighton Ave, Staten Island, NY 10301-2736 | 2010-11-24 |
| 1780842922 | Linda Marconi-manda | Psychologist | 78 Cedarcliff Road, Staten Island, NY 10301-4402 | 2008-05-23 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
Please comment or provide details below to improve the information on DR. DONALD R LEE-EDWARDS.
| 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.