Robert S. Lee Therapeutic Massage, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

023434-2 Issued in NY

Legal business name

ROBERT S. LEE THERAPEUTIC MASSAGE, P.C.

Practice address

15301 Northern Blvd
Flushing, NY 11354-5035

Phone

(917) 353-0953

NPI assigned

Sep 8, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert Seungmin Lee, L.AC., LMT, RRT

Title

President

Phone

(917) 353-0953

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1174830483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COMET RD",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916909",
            "telephone_number": "917-353-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15301 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545035",
            "telephone_number": "917-353-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S. LEE THERAPEUTIC MASSAGE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SEUNGMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-353-0953",
        "authorized_official_credential": "L.AC., LMT, RRT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": "023434-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.