Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
METRO DERMATOLOGY OF NY,PC
Active
Organization
METRO DERMATOLOGY OF NY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYUN SOO LEE MD (OWNER)
(718) 886-9000
Entity
Organization
Contact information
Practice address
14472 NORTHERN BLVD STE 203, FLUSHING, NY 11354-4231
(718) 886-9000
(718) 961-0666
Mailing address
4012 80TH ST, ELMHURST, NY 11373-1234
(718) 886-9000
(718) 961-0666
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
191741
NY
207N00000X
Dermatology Physician
270019
NY
207ND0900X
Dermatopathology Physician
186672
NY
207ND0900X
Dermatopathology Physician
258414
NY
363A00000X
Physician Assistant
012529
NY
363A00000X
Physician Assistant
012705
NY
363A00000X
Physician Assistant
015855
NY
363A00000X
Physician Assistant
Primary
017273
NY
363A00000X
Physician Assistant
017384
NY
Other
Enumeration date
06/13/2007
Last updated
08/21/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up