Christine Jisun Lee, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

023574 Issued in NY

Practice address

75-59 263Rd Street
Ambulatory Care Pavilion, Room 1248
Glen Oaks, NY 11004-1100

Phone

(718) 470-4832

NPI assigned

Apr 22, 2020

Last updated

Apr 22, 2020By 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)

Enrolled

Credentials

Doctor of Philosophy

Interoperability endpoints

• Direct secure messaging: christinelee@nslijmedgr.allscriptsdirect.net

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1952921645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 METROPOLITAN AVE APT 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113041",
            "telephone_number": "917-731-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-59 263RD STREET",
            "address_2": "AMBULATORY CARE PAVILION, ROOM 1248",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041100",
            "telephone_number": "718-470-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "CHRISTINE",
        "middle_name": "JISUN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "023574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jehn Lam
• Alexandra Teresa Landau, MD
• Yevgeniya Lapitskaya, M.D.
• Dawn Laporte, MD
• Robert Glen Larsen, M.D.
• Jennifer Lee
• Min Hyung Lee, MD
• Nancy W Lee, LMSW
• Richard Lee
• Sol Lee, MD

• Clinical Neuropsychologist in Glen Oaks, NY
• Providers in Glen Oaks, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.