Organization
BAY RIDGE MEDICAL GROUP, PLLC
Active
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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