Jaesoo Lee
Pediatric Emergency Physician
760 Broadway
Brooklyn
, New York 11206-5317
Jaesoo Lee
Pediatric Emergency Physician
760 Broadway
Brooklyn
, New York 11206-5317
(516) 692-3139
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About
Features
Specialties
- Pediatric Emergency Physician
Languages spoken
- English
Location
First Address
- Jaesoo Lee
- 60 Laurel Ct
- Syosset, NY
- Zip : 11791-1903
- Phone : (516) 692-3139
Second Address
- Jaesoo Lee
- 760 Broadway
- Brooklyn, NY
- Zip : 11206-5317
- Phone : (718) 963-8000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | 117614 | NY |
National Provider Identifier
| NPI | 1144301789 |
|---|---|
| Provider Name | Jaesoo Lee |
| First Address | Syosset, NY 11791-1903 |
| Second Address | Brooklyn, NY 11206-5317 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2006 |
| Last Update Date | 08/07/2007 |
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.