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

Tae Min Lee

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205630829

Tae Min Lee is a Student in an Organized Health Care Education/Training Program in Stony Brook, New York. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

101 Nicolls Rd Rm 20
Stony Brook, NY 11794-0001
Phone: (631) 444-7411
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1205630829
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2025
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025

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