Lee, Steve Sangsoo

Lee, Steve Sangsoo is an sole proprietor health care provider with primary practice located at 21601 Northern Blvd , Bayside NY 11361-3458. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lee, Steve Sangsoo can be contacted via phone (718) 224-3196.

Contact Information

Primary practice address
21601 Northern Blvd Bayside NY 11361-3458
Fax: (718) 224-3197
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 050373 New York

Profile Details

NPI number 1922144104
LBN Legal business name Lee, Steve Sangsoo
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922144104 NPPES
New York MEDICAID 02409465

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