Individual
DANIEL JIN LEE
Active
Individual
DANIEL JIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
U1706
TX
2085N0904X
Nuclear Radiology Physician
225637
NY
2085N0904X
Nuclear Radiology Physician
311706
LA
2085R0202X
Diagnostic Radiology Physician
225637
NY
2085R0202X
Diagnostic Radiology Physician
311706
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026794601
UNIVERA
NY
01
—
00026794602
UNIVERA
NY
01
—
005077331
HEALTN NOW
NY
01
—
005077333
HEALTH NOW - UMI
NY
05
—
02526974
—
NY
01
—
050106000087
FIDELIS
NY
01
—
050106000089
FIDELIS - UMI
NY
01
—
4124851
MVP
NY
01
—
4124852
MVP - UMI
NY
01
—
7821591
AETNA
NY
01
—
GP0091
PREFERRED CARE - UMI
NY
01
—
MDH779
PREFERRED CARE
NY
01
—
P00262486
RAILROAD MEDICARE
NY
01
—
P010225637
BLUE CHOICE
NY
Enumeration date
06/30/2006
Last updated
06/08/2023
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