Most Relevant Information
Provider Data
NPI Number: | 1003300773 |
Provider Name: | HYORYUNG ANN LEE MD |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 06/18/2018 |
Last Updated: | 10/19/2023 |
Provider Practice Location
462 1ST AVE FL 3
NEW YORK
NY
100169196
Practice Location Phone/Fax
Phone: | 2125622455 |
Fax: |
Provider Mailing Location
462 1ST AVE FL 3
NEW YORK
NY
100169196
Provider Mailing Phone/Fax
Phone: | 2125622455 |
Fax: |