Lee, Miyoung

Lee, Miyoung is an sole proprietor health care provider with primary practice located at 2811 Queens Plz N Fl 5 , Long Island City NY 11101-4172. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / School, Nursing Service Providers / Registered Nurse. Nursing Service Providers / School is her primary health care specialty. Lee, Miyoung can be contacted via phone (718) 391-8300.

Contact Information

Primary practice address
2811 Queens Plz N Fl 5 Long Island City NY 11101-4172
Phone: (718) 391-8300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F339527-1 New York
Nursing Service Providers / School 163WS0200X 620375-1 New York
Nursing Service Providers / Registered Nurse 163W00000X 620375-1 New York

Profile Details

NPI number 1821544347
LBN Legal business name Lee, Miyoung
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2016
Last updated Jan 29th, 2026 - about 9 months 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 1821544347 NPPES
New York MEDICAID 04527753

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