Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 182644 | NY |
N | 111NI0900X | Internist | 182644 | NY |
Y | 207RC0000X | Internist - Cardiovascular Disease | 182644 | NY |
NPI | 1023070075 |
---|---|
Provider Name | Dr. Myung-Ho Lee |
First Address | Purchase, NY 10577-0628 |
Second Address | Rye Brook, NY 10573-2820 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 17/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01445216 | (05) | NY |
060043730 | RR MEDICARE (01) | NY |
G35568 | (02) | NY |