Lee, Edward Choongho

Lee, Edward Choongho is an individual health care provider with primary practice located at 47 New Scotland Ave , Albany NY 12208-3412. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Lee, Edward Choongho can be contacted via phone (518) 262-5623.

Contact Information

Primary practice address
47 New Scotland Ave Albany NY 12208-3412
Phone: (518) 262-5623
Fax: (518) 262-5560
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 199158-1 New York
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 199158-1 New York

Profile Details

NPI number 1124012620
LBN Legal business name Lee, Edward Choongho
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124012620 NPPES
New York MEDICAID 01559402

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