Lee, Youngick

Lee, Youngick is an individual health care provider with primary practice located at 145 Prospect St , Ridgewood NJ 07450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Lee, Youngick can be contacted via phone (201) 652-3641.

Contact Information

Primary practice address
145 Prospect St Ridgewood NJ 07450
Phone: (201) 652-3641
Fax: (201) 652-7436
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X MA32682 New Jersey

Profile Details

NPI number 1306891031
LBN Legal business name Lee, Youngick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1306891031 NPPES
New Jersey MEDICAID 00467625

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