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

Mr. Bruce Lee, PA

Individual provider Physician Assistant · NPI 1689757288

Mr. Bruce Lee, PA is a Physician Assistant in Newark, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1208 Driving Park Ave
Newark, NY 14513-1057
Phone: (315) 359-2640
Fax: (315) 359-2645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 004516 (NY)

Record details

NPI number1689757288
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 24, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1208 Driving Park Ave, Newark, NY 14513-1057

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