Individual
CHANG SUK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
38-05 BOWNE ST., FLUSHING, NY 11354
(718) 762-4400
(718) 463-2074
Mailing address
38-05 BOWNE ST., FLUSHING, NY 11354
(718) 762-4400
(718) 463-2074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
180370
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01152381
—
NY
Enumeration date
10/04/2006
Last updated
07/08/2007
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