Lee, Susana M

Lee, Susana M is an individual health care provider with primary practice located at 2238 31St St , Astoria NY 11105-2714. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Lee, Susana M can be contacted via phone (718) 278-3600.

Contact Information

Primary practice address
2238 31St St Astoria NY 11105-2714
Phone: (718) 278-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 27OA00593700 New Jersey
Eye and Vision Services Providers / Optometrist 152W00000X TUV007020-1 New York

Profile Details

NPI number 1679543003
LBN Legal business name Lee, Susana M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Oct 20th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679543003 NPPES
New York MEDICAID 02841394
New York MEDICAID 0061620

Popular Providers