SUE LEE (NPI# 1568929461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568929461 |
| Entity Type | Individual |
| Full Name | SUE LEE |
| Practice Address |
415 W Merrick Rd Freeport NY 11520-4144 |
| Practice Telephone | 5163781415 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2020-09-18 |
| NPI Deactivation Date | 02/27/2019 |
| NPI Reactivation Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
061209 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218366 | Sue J Lee | Speech-Language Pathologist | 355 S High St, Wailuku, HI 96793-2103 | 2019-07-30 |
| 1548625189 | Sue Lee | Nurse Practitioner | 19820 Scriber Lake Rd Ste 2, Lynnwood, WA 98036-6121 | 2015-12-28 |
| 1659636165 | Sue Lee | Specialist | 3510 156th St, Flushing, NY 11354-5022 | 2012-07-10 |
| 1073667127 | Sue Kim Lee | General Practice | 2199 N Decatur Road, Ste 3, Decatur, GA 30033 | 2007-01-23 |
| 1083791065 | Sue O Lee | Chiropractor | 4221 Wilshire Blvd Ste 284, Los Angeles, CA 90010-3509 | 2006-11-01 |
| 1215591037 | Sue Lee | Behavior Technician | 7261 W Charleston Blvd Ste 101, Las Vegas, NV 89117-1679 | 2019-04-26 |
| 1992288344 | Sue Jung Lee | Licensed Vocational Nurse | 3853 Rosecrans St, San Diego, CA 92110-3115 | 2018-09-12 |
| 1427458231 | Sue F Lee | Nurse Anesthetist, Certified Registered | 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | 2014-08-28 |
| 1316386485 | Sue Jung Lee | Pharmacist | 417 N Broadway, Jericho, NY 11753-2106 | 2013-06-21 |
| 1275800732 | Sue S Lee | Speech-Language Pathologist | 2040 S Alma School Rd, Suite 1, Pmb 500, Chandler, AZ 85286-7075 | 2011-11-28 |
| Street Address |
415 W MERRICK RD |
| City | FREEPORT |
| State | NY |
| Zip Code | 11520-4144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982690012 | Edward Maurer | Dentist | 415 W Merrick Rd, Freeport, NY 11520-4144 | 2005-09-23 |
| 1053896555 | Your Smile Dental of Freeport Pllc | Dentist | 415 W Merrick Rd, Freeport, NY 11520-4144 | 2018-10-01 |
| 1598274904 | Your Smile Dental of Freeport | Clinic/Center | 415 W Merrick Rd, Freeport, NY 11520-4144 | 2017-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881157154 | Barbara Chillemi | Registered Nurse | 56 Mackay Place, Freeport, NY 11520 | 2019-04-12 |
| 1588171631 | Lisa Frank | Nurse Practitioner | 150 Buffalo Ave, Freeport, NY 11520 | 2018-01-10 |
| 1447775838 | Julner Quettant Jr. | Physical Therapist | 63 St Marks Ave, Freeport, NY 11520 | 2017-08-07 |
| 1679003933 | Candice A R Greene | Speech-Language Pathologist | 12 Summers Place, Freeport, NY 11520 | 2017-06-19 |
| 1700310331 | Samantha Edwards | Psychologist | 6 Delisle Avenue, Freeport, NY 11520 | 2017-04-20 |
| 1275073769 | Dorothea Geiger | Behavior Technician | 90 Hillside Ave, Freeport, NY 11520 | 2017-03-02 |
| 1477092575 | Maryhaven Center of Hope,inc | Substance Abuse Rehabilitation Facility | 150 Buffalo Avenue, Freeport, NY 11520 | 2017-02-22 |
| 1861849135 | Daniel Lora | Acupuncturist | 140 Parsons Ave, Freeport, NY 11520 | 2016-05-17 |
| 1326413790 | Beatrice Jeanty | Registered Nurse | 619 South Long Beach Ave., Freeport, NY 11520 | 2015-12-10 |
| 1134505548 | Maria A. Meek | Nurse Practitioner | 334, West Merrick Rd., Freeport., NY 11520 | 2015-08-07 |
| Find all providers in zip 11520 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891165643 | Freeport Dental | Dentist | 1450 S West Ave, Freeport, IL 61032-6351 | 2015-10-05 |
| 1417247529 | Lindsay L Shirley | Dentist | 30 Blueberry Road, Freeport, FL 32439 | 2011-04-10 |
| 1588962971 | Long Island Family Dentistry | Dentist | 26 W Merrick Rd, Freeport, NY 11520-3827 | 2011-03-08 |
| 1447486501 | Gary Alan Besley | Dentist | 1450 S. West Ave., Freeport, IL 61032 | 2009-06-03 |
| 1801060876 | Jose' Antonio Lazo | Dentist | 186 Atlantic Ave, Freeport, NY 11520-4923 | 2008-04-21 |
| 1447422456 | Freeport Dental, PC | Dentist | 117 W Sunrise Hwy, Freeport, NY 11520-3614 | 2008-03-31 |
| 1902081185 | Lorraine Ann Herrmann | Dentist | 268 W Merrick Rd, Freeport, NY 11520-3347 | 2008-01-07 |
| 1558573329 | Crispin Zapanta Ayroso | Dentist | 131 S Ocean Ave, Suite 5 & 6, Freeport, NY 11520-4548 | 2007-05-04 |
| 1730307240 | Jonathan Goold Strout | Dentist | 46 Mallett Dr, Freeport, ME 04032-1313 | 2007-04-22 |
| 1740305614 | Joseph H Wetherhold | Dentist | 348 Us Route 1, Freeport, ME 04032-7016 | 2007-03-20 |
| Find all providers in FREEPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.