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Individual

DR. MYUNG-HO LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16 RYE RIDGE PLZ, RYE BROOK, NY 10573-2820
(914) 593-7872
(914) 593-7881
Mailing address
PO BOX 628, PURCHASE, NY 10577-0628
(914) 593-7872
(914) 593-7881

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
182644
NY
207RC0000X
Cardiovascular Disease Physician
Primary
182644
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01445216
NY
01
060043730
RR MEDICARE
NY
Enumeration date
04/05/2006
Last updated
10/17/2011
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