Lee, Juno

Lee, Juno is an individual health care provider with primary practice located at 301 Prospect Ave , Syracuse NY 13203-1807. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Lee, Juno can be contacted via phone (315) 448-5416.

Contact Information

Primary practice address
301 Prospect Ave Syracuse NY 13203-1807
Phone: (315) 448-5416
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 253431 New York
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 198155 New York

Profile Details

NPI number 1265424006
LBN Legal business name Lee, Juno
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Aug 30th, 2024 - about 2 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 1265424006 NPPES
New York MEDICAID 02224500
New York MEDICAID 02622379
New York MEDICAID 00555440
New York MEDICAID 00555500

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