Lee, Soo Gil

Lee, Soo Gil is an sole proprietor health care provider with primary practice located at 5010 St Hwy 30 Ste 201, Amsterdam NY 12010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Lee, Soo Gil can be contacted via phone (518) 842-7161.

Contact Information

Primary practice address
5010 St Hwy 30 Ste 201 Amsterdam NY 12010
Phone: (518) 842-7161
Fax: (518) 842-0797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 161341 New York

Profile Details

NPI number 1063476398
LBN Legal business name Lee, Soo Gil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2006
Last updated May 28th, 2013 - about 12 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 1063476398 NPPES
New York MEDICAID 01220319

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