Lee, Kwang Hae
Lee, Kwang Hae is an sole proprietor health care provider with primary practice located at 18-47C Mott Avenue , Far Rockaway NY 11691. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lee, Kwang Hae can be contacted via phone (718) 868-8282.Contact Information
Primary practice address
18-47C Mott Avenue
Far Rockaway NY 11691
Phone: (718) 868-8282
Fax: (718) 471-2865
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 111384 | New York |
Profile Details
| NPI number | 1003995531 |
|---|---|
| LBN Legal business name | Lee, Kwang Hae |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003995531 | NPPES |
| New York | MEDICAID | 00200239 |
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