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Organization
HAN SHIK LEE MD PC
Active
Organization
HAN SHIK LEE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAN SHIK LEE MD (PRESIDENT MEDICAL DIRECTOR)
(718) 224-1600
Entity
Organization
Contact information
Practice address
14021 32ND AVE, SUITE C1, FLUSHING, NY 11354-2613
(718) 224-1600
(718) 224-8085
Mailing address
14021 32ND AVE, SUITE C1, FLUSHING, NY 11354-2613
(718) 224-1600
(718) 224-8085
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
185465
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03418384
—
NY
01
—
6683160001
SUPPLIER MEDICARE DME
NY
Enumeration date
03/02/2007
Last updated
09/27/2012
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