Individual
DR. DIANA SUWEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
550 1ST AVE, NEW YORK, NY 10016-6402
(212) 263-5506
Mailing address
211 TIONDA DR S APT 1, VANDALIA, OH 45377-2440
(585) 747-8681
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
308054
NY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
308054
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13-3971298
—
NY
Enumeration date
04/26/2018
Last updated
02/05/2025
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