Individual
JAY YUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1000 10TH AVENUE, NEW YORK, NY 10019
(212) 590-2930
(212) 590-2982
Mailing address
1780 BROADWAY, SUITE 1100, NEW, NY 10019
(212) 590-2930
(212) 590-2982
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
175198
NY
2085R0202X
Diagnostic Radiology Physician
35.140765
OH
2085R0205X
Radiological Physics Physician
175198
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02001307
—
NY
05
—
0421870
—
OH
Enumeration date
06/27/2006
Last updated
03/23/2021
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