Lee, Jong Y

Lee, Jong Y is an individual health care provider with primary practice located at 1611 Nw 12Th Ave Box 016960 (M851), Miami FL 33136-1005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Lee, Jong Y can be contacted via phone (305) 243-6358.

Contact Information

Primary practice address
1611 Nw 12Th Ave Box 016960 (M851) Miami FL 33136-1005
Phone: (305) 243-6358
Fax: (305) 243-8470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME89153 Florida
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD436059 Pennsylvania
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X MD436059 Pennsylvania

Profile Details

NPI number 1063444271
LBN Legal business name Lee, Jong Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Aug 20th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063444271 NPPES
Pennsylvania MEDICAID 2698528-00
Pennsylvania Other 43304
Pennsylvania MEDICAID 2698528-00

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