| Kenny Derkang Lee, MD | |
| 
					2000 N Village Ave Ste 201, Rockville Centre, NY 11570-1001  | |
| (516) 900-7922 | |
| Not Available | 
| Full Name | Kenny Derkang Lee | 
|---|---|
| Gender | Male | 
| Speciality | Surgery - Surgical Critical Care | 
| Location | 2000 N Village Ave Ste 201, Rockville Centre, New York | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962864033 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | 318696 (New York) | Primary | 
| Entity Name | Long Island Surgical Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588039119 PECOS PAC ID: 8628305786 Enrollment ID: O20190812003350  | 
| Entity Name | Acute Care Medical Services Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1205597473 PECOS PAC ID: 8820477250 Enrollment ID: O20220615001639  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kenny Derkang Lee, MD 2000 N Village Ave Ste 201, Rockville Centre, NY 11570-1001 Ph: (516) 900-7922  | Kenny Derkang Lee, MD 2000 N Village Ave Ste 201, Rockville Centre, NY 11570-1001 Ph: (516) 900-7922  | 
Dr. Dana O. Monaco, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 N Village Ave, Suite 209, Rockville Centre, NY 11570 Phone: 516-766-8600 Fax: 516-766-8858  | |
Jonathan Victor Goldstein, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 77 N Centre Ave, Suite 306, Rockville Centre, NY 11570 Phone: 516-264-5900 Fax: 516-594-9728  | |
Rashid Ayyub, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 N. Village Avenue, Rockville Centre, NY 11571 Phone: 516-705-1818  | |
Daniel Haller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 N Village Ave Ste 211, Rockville Centre, NY 11570 Phone: 516-900-7922 Fax: 718-425-8911  | |
Dr. Omar Wain, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2000 N Village Ave Ste 211, Rockville Centre, NY 11570 Phone: 516-900-7922 Fax: 718-425-8911  | |
Joel Benowitz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1000 N Village Ave, Rockville Centre, NY 11570 Phone: 516-889-9100 Fax: 516-889-9108  | |
Dr. Robert Alan Cooper, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 77 N Centre Ave, Ste 306, Rockville Centre, NY 11570 Phone: 516-766-3730 Fax: 516-678-3620  |