Lee, Jae Ho

Lee, Jae Ho is an individual health care provider with primary practice located at 160 N Midland Ave Nyack Hospital, Nyack NY 10960-1912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Lee, Jae Ho can be contacted via phone (914) 666-8866.

Contact Information

Primary practice address
160 N Midland Ave Nyack Hospital Nyack NY 10960-1912
Phone: (914) 666-8866
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 205923 New York

Profile Details

NPI number 1053313999
LBN Legal business name Lee, Jae Ho
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Jul 8th, 2007 - about 17 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 1053313999 NPPES
New York MEDICAID 01740743

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