Lee, Susan Min Kyong

Lee, Susan Min Kyong is an individual health care provider with primary practice located at 400 Community Dr , Manhasset NY 11030-3815. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Lee, Susan Min Kyong can be contacted via phone (516) 562-4005.

Contact Information

Primary practice address
400 Community Dr Manhasset NY 11030-3815
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 052240 New York

Profile Details

NPI number 1225211907
LBN Legal business name Lee, Susan Min Kyong
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2007
Last updated Jul 21st, 2022 - about 3 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 1225211907 NPPES
New York Other 052240 NEW YORK STATE LICENSE

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