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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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 1558446674 NPPES
New York MEDICAID 01761279
New York MEDICAID 7458703

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