Provider Demographics
NPI:1669524237
Name:SHECHTMAN, LEE (MD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:
Last Name:SHECHTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:LEE
Other - Middle Name:BARRY
Other - Last Name:SHECHTMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:247 THIRD AVENUE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10010
Mailing Address - Country:US
Mailing Address - Phone:212-253-9926
Mailing Address - Fax:212-995-2757
Practice Address - Street 1:247 3RD AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7457
Practice Address - Country:US
Practice Address - Phone:212-253-9926
Practice Address - Fax:212-995-2757
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY143233207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY143233OtherNYS LICENSE
134077365OtherTAX ID
134077365OtherTAX ID
NY143233OtherNYS LICENSE
93A181Medicare ID - Type Unspecified