Individual
MR. JAE SUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5300 MILITARY RD, MOUNT ST MARYS HOSPITAL, LEWISTON, NY 14092
(716) 297-4800
Mailing address
5290 MILITARY RD, STE 6, LEWISTON, NY 14092
(716) 297-2998
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
130958
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00589579
—
NY
Enumeration date
02/07/2006
Last updated
09/09/2010
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