Individual
SUNG W LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 EASTENTRY RD, STATEN ISLAND, NY 10304-1105
(718) 351-1418
(718) 351-7378
Mailing address
6 EASTENTRY RD, STATEN ISLAND, NY 10304-1105
(718) 351-1418
(718) 351-7378
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
109957
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00195666
—
NY
Enumeration date
10/03/2006
Last updated
07/08/2007
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