Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 217518 | NY |
NPI | 1114991882 |
---|---|
Provider Name | Euna Lee |
First Address | Flushing, NY 11355 |
Second Address | Flushing, NY 11355 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 11/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02277443 | (05) | NY |
H58212 | (02) | NY |