Individual
JOHN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
19316 NORTHERN BLVD STE D, FLUSHING, NY 11358-2900
(347) 438-1000
Mailing address
19316 NORTHERN BLVD STE D, FLUSHING, NY 11358-2900
(347) 438-1000
(347) 438-1002
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052270-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02691909
—
NY
Enumeration date
01/25/2007
Last updated
04/22/2026
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