Provider Demographics
NPI:1992128052
Name:DR.LEE'S MEDICAL ASSOCIATES, LLP
Entity type:Organization
Organization Name:DR.LEE'S MEDICAL ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:JUNHO
Authorized Official - Middle Name:BOK
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-353-4100
Mailing Address - Street 1:14748 ROOSEVELT AVE STE L9
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4708
Mailing Address - Country:US
Mailing Address - Phone:718-353-4100
Mailing Address - Fax:718-939-5500
Practice Address - Street 1:14748 ROOSEVELT AVE STE L9
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4708
Practice Address - Country:US
Practice Address - Phone:718-353-4100
Practice Address - Fax:718-939-5500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY166634174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty