Dr. Young Soo Lee
Geriatric Medicine
211 E 13th St 4e
New York
, New York 10003-5691
Dr. Young Soo Lee
Geriatric Medicine
211 E 13th St 4e
New York
, New York 10003-5691
(646) 919-2819
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Young Soo Lee
- 211 E 13th St 4e
- New York, NY
- Zip : 10003-5691
- Phone : (646) 919-2819
Second Address
- Dr. Young Soo Lee
- 211 E 13th St 4e
- New York, NY
- Zip : 10003-5691
- Phone : (646) 919-2819
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 174894 | NY |
National Provider Identifier
| NPI | 1073980744 |
|---|---|
| Provider Name | Dr. Young Soo Lee |
| First Address | New York, NY 10003-5691 |
| Second Address | New York, NY 10003-5691 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2015 |
| Last Update Date | 28/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 174894 | NEW YORK STATE LICENSE NUMBER (01) | NY |
| BL1477719 | DEA (01) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.