Individual
SUNG I. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 W 79TH ST, NEW YORK, NY 10024-6431
(212) 799-0196
Mailing address
150 W 79TH ST, APT 2A, NEW YORK, NY 10024-6431
(212) 799-0196
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
129197-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00858457
—
NY
Enumeration date
06/09/2006
Last updated
10/03/2016
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