Organization
BAY RIDGE MEDICAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN HYUNG IL LEE MD (OWNER)
(929) 415-8856
Entity
Organization
Contact information
Practice address
7404 5TH AVE, BROOKLYN, NY 11209-2704
(929) 415-8856
(718) 233-3165
Mailing address
7404 5TH AVE, BROOKLYN, NY 11209-2704
(929) 415-8856
(718) 233-3165
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
—
—
207UN0901X
Nuclear Cardiology Physician
—
—
Other
Enumeration date
02/29/2024
Last updated
11/21/2024
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