Lee, Hyun-Soo
Lee, Hyun-Soo is an individual health care provider with primary practice located at 14472 Northern Blvd Ste 203 , Flushing NY 11354-4231. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Lee, Hyun-Soo can be contacted via phone (718) 886-9000.Contact Information
Primary practice address
14472 Northern Blvd Ste 203
Flushing NY 11354-4231
Phone: (718) 886-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 186672 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 186672 | New York |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 186672 | New York |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MA66379 | New Jersey |
Profile Details
| NPI number | 1558446674 |
|---|---|
| LBN Legal business name | Lee, Hyun-Soo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Mar 1st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558446674 | NPPES |
| New York | MEDICAID | 01761279 | |
| New York | MEDICAID | 7458703 |
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