Lee, Jae Yoon
Lee, Jae Yoon is an individual health care provider with primary practice located at 13124 Rockaway Blvd , South Ozone Park NY 11420-2932. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Lee, Jae Yoon can be contacted via phone (718) 659-7166.Contact Information
Primary practice address
13124 Rockaway Blvd
South Ozone Park NY 11420-2932
Phone: (718) 659-7166
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 164410 | New York |
Profile Details
| NPI number | 1609984814 |
|---|---|
| LBN Legal business name | Lee, Jae Yoon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Oct 3rd, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609984814 | NPPES |
| New York | MEDICAID | 00995955 |
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