Lee, Diana Soojung

Lee, Diana Soojung is an individual health care provider with primary practice located at 3415 Bainbridge Ave , Bronx NY 10467-2403. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Lee, Diana Soojung can be contacted via phone (718) 741-2426.

Contact Information

Primary practice address
3415 Bainbridge Ave Bronx NY 10467-2403
Phone: (718) 741-2426
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 256889 New York

Profile Details

NPI number 1336323179
LBN Legal business name Lee, Diana Soojung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2007
Last updated Jun 29th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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