| Krystal Lee, DO | |
|
9525 Queens Blvd Ste 501, Rego Park, NY 11374-4503 | |
| (718) 460-2300 | |
| Not Available |
| Full Name | Krystal Lee |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 9525 Queens Blvd Ste 501, Rego Park, 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 |
|---|---|---|---|
| 1720472939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 323981 (New York) | Primary |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Krystal Lee, DO 1554 Northern Blvd Fl 4, Manhasset, NY 11030-3053 Ph: (516) 321-6400 | Krystal Lee, DO 9525 Queens Blvd Ste 501, Rego Park, NY 11374-4503 Ph: (718) 460-2300 |
Dr. Oliver Masaba, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9520 Queens Blvd, Rego Park, NY 11374 Phone: 718-459-1280 | |
Dmitriy Fuzaylov, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 9701 66th Ave, Rego Park, NY 11374 Phone: 718-275-5200 Fax: 718-275-6864 | |
Diana Barayeva, D.O Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6441 Saunders St, Apt 306, Rego Park, NY 11374 Phone: 646-413-0553 | |
Kevin James Cipriano, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 9525 Queens Blvd, Rego Park, NY 11374 Phone: 718-925-6238 Fax: 929-895-5109 | |
Dr. Klara Sosina, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6384 Saunders St, Apt. # 2b, Rego Park, NY 11374 Phone: 718-997-7064 | |
Dr. Steven Ross, D.O. Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 9520 Queens Blvd, Rego Park, NY 11374 Phone: 718-459-1280 |