Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 042238 | NY |
Y | 213EG0000X | General Practice | 042238 | NY |
NPI | 1003053216 |
---|---|
Provider Name | Dr. Grace Lee-Hin |
First Address | New York, NY 10016-2553 |
Second Address | New York, NY 10016-2553 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2009 |
Last Update Date | 09/01/2009 |