Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gina Lee, PMHNP-BCANP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1083037964

Gina Lee, PMHNP-BCANP-BC is a Nurse Practitioner in Little Neck, New York. Qualified in 2018, 8 years ago. Practices as a sole proprietor and offers telehealth. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2014
Specialties on file
2

Practice location Address checks out

5836 254th St
Little Neck, NY 11362-2124
Phone: (917) 566-7645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence F402513-1 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence F306733-1 (NY)

Record details

NPI number1083037964
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BCANP-BC
Sole proprietorYes
NPI enumeratedJanuary 28, 2014
Last updated in NPPESMay 13, 2021
Certification dateMay 13, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

Other providers in Little Neck