Individual
DR. EDWARD CHOONGHO LEE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5623
(518) 262-5560
Mailing address
47 NEW SCOTLAND AVE, ALBANY, NY 12208-3412
(518) 262-5623
(518) 262-5560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
199158-1
NY
208C00000X
Colon & Rectal Surgery Physician
199158-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01559402
—
NY
Enumeration date
09/12/2005
Last updated
09/11/2025
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