Individual
DR. YOUNG SOO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
211 E 13TH ST, 4E, NEW YORK, NY 10003-5691
(646) 919-2819
Mailing address
211 E 13TH ST, 4E, NEW YORK, NY 10003-5691
(646) 919-2819
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
174894
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174894
NEW YORK STATE LICENSE NUMBER
NY
Enumeration date
08/28/2015
Last updated
03/07/2023
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