Individual
KWANG HAE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18-47C MOTT AVENUE, FAR ROCKAWAY, NY 11691
(718) 868-8282
(718) 471-2865
Mailing address
76 HALYARD RD, VALLEY STREAM, NY 11581-2813
(516) 791-3521
(718) 471-2865
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
111384
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00200239
—
NY
Enumeration date
11/03/2006
Last updated
07/08/2007
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