Lee, Keun Yong

Lee, Keun Yong is an individual health care provider with primary practice located at 85 High St , Buffalo NY 14203-1149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Lee, Keun Yong can be contacted via phone (716) 883-6800.

Contact Information

Primary practice address
85 High St Buffalo NY 14203-1149
Phone: (716) 883-6800
Fax: (716) 883-6853
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 130040 New York

Profile Details

NPI number 1750379269
LBN Legal business name Lee, Keun Yong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated Jun 7th, 2016 - about 8 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 1750379269 NPPES
New York MEDICAID 00612684

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