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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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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