Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 254311 | NY |
NPI | 1134327398 |
---|---|
Provider Name | Dr. Kristen Hyonju Lee |
First Address | New York, NY 10016-2772 |
Second Address | New York, NY 10016-2772 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2007 |
Last Update Date | 10/07/2012 |