Individual
CHAN HO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(718) 670-2170
Mailing address
14026 CHERRY AVE APT 4E, FLUSHING, NY 11355-6035
(917) 902-5502
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306352
NY
363LG0600X
Gerontology Nurse Practitioner
F340878
NY
Other
Enumeration date
07/16/2013
Last updated
06/26/2025
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