Annette Jiyoung Gaetan Lee, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

312463 Issued in NY

Practice address

8314 Cooper Ave
Glendale, NY 11385-7722

Phone

(718) 428-1500

NPI assigned

Sep 12, 2025

Last updated

Sep 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Main Street Radiology at Bayside LLC

  • Diagnostic Radiology Physician
  • Glendale, NY
  • NPI 1851893317
  NPD (past)
• Radiology Associates of Main Street PC

  • Diagnostic Radiology Physician
  • Flushing, NY
  • NPI 1265529101
  NPD (past)

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1477424638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650099",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113650099",
            "telephone_number": "718-428-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8314 COOPER AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857722",
            "telephone_number": "718-428-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAETAN LEE",
        "first_name": "ANNETTE",
        "middle_name": "JIYOUNG",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "312463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frankmart Pharmacy
• Chaya Friedman
• Kevin Scott Friedman, D.D.S.
• Richard A. Friedman, DDS
• Jean Fusaro, R.PH., MS
• Gag Drug Corp
• Mariano Giuseppe Gagliardo
• Jennifer Ann Gallanter
• Edgar Gallego
• Seeta Ganpat, PMHNP-BC

• Adult Health Nurse Practitioner in Glendale, NY
• Providers in Glendale, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.