Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY JAE WON LEE, MD
ActiveTRACY JAE WON LEE, MD is a Body Imaging healthcare provider located in MINEOLA, New York. NPI 1386688984 is currently active in the NPPES registry. Verify at CMS.
Body Imaging · MINEOLA, NY
Registration Details
- NPI Number
- 1386688984
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 15, 2006 (20.18164719069 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
230112 (NY)230112 (NY)
Practice Information
- Address
-
120 MINEOLA BLVDSTE 10 LOWER LEVELMINEOLA, NY, 115014073Browse NY providers · Browse ZIP 11501
- Phone
- 5166634510
- Fax
- 5166633698
- Primary Specialty
-
Body Imaging
2085B0100X
- Additional Specialty
- Body Imaging
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.