Lee, Mimi Joonyoung
Lee, Mimi Joonyoung is an sole proprietor health care provider with primary practice located at 3915 Broadway , New York NY 10032-1565. She recently has 3 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / Oral and Maxillofacial Surgery is her primary health care specialty. Lee, Mimi Joonyoung can be contacted via phone (212) 567-5536.Contact Information
Primary practice address
3915 Broadway
New York NY 10032-1565
Phone: (212) 567-5536
Fax: (212) 202-6447
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 056100-1 | New York |
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 265566-1 | New York |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Georgia |
Profile Details
NPI number | 1366604829 |
---|---|
LBN Legal business name | Lee, Mimi Joonyoung |
Credentials | DDS, MD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 26th, 2008 |
Last updated | Feb 25th, 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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