Individual
SANDRA SUNGMEE AHN-LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
180 E MAIN ST, SUITE 1, BAY SHORE, NY 11706
(631) 665-3918
(631) 665-1818
Mailing address
375 E MAIN ST, SUITE 24, BAY SHORE, NY 11706
(631) 665-1330
(631) 665-1363
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
181952
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01332750
—
NY
Enumeration date
03/28/2006
Last updated
12/06/2013
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