Individual
PAUL JUNG-KOON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-4300
Mailing address
109 BOWLING LN, DEER PARK, NY 11729-6724
(516) 849-0359
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
188644
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01933664
—
NY
Enumeration date
07/27/2006
Last updated
06/15/2023
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