Kwang Hae Lee
Pediatrician
18-47c Mott Avenue
Far Rockaway
, New York 11691
Kwang Hae Lee
Pediatrician
18-47c Mott Avenue
Far Rockaway
, New York 11691
(718) 471-2865
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Kwang Hae Lee
- 76 Halyard Rd
- Valley Stream, NY
- Zip : 11581-2813
- Fax : (718) 471-2865
- Phone : (516) 791-3521
Second Address
- Kwang Hae Lee
- 18-47c Mott Avenue
- Far Rockaway, NY
- Zip : 11691
- Fax : (718) 471-2865
- Phone : (718) 868-8282
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 111384 | NY |
National Provider Identifier
| NPI | 1003995531 |
|---|---|
| Provider Name | Kwang Hae Lee |
| First Address | Valley Stream, NY 11581-2813 |
| Second Address | Far Rockaway, NY 11691 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00200239 | (05) | NY |
| C66929 | (02) | 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.