Individual
DR. EUGENE Y LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10460 QUEENS BLVD, SUITE 1F, FOREST HILLS, NY 11375-7301
(718) 459-7900
Mailing address
10460 QUEENS BLVD, APT. 2C, FOREST HILLS, NY 11375-7301
(917) 446-1197
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
050692
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02405163
—
NY
Enumeration date
10/28/2005
Last updated
07/08/2007
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