Mimi Joonyoung Lee
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
3915 Broadway
New York
, New York 10032-1565
Mimi Joonyoung Lee
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
3915 Broadway
New York
, New York 10032-1565
(917) 903-7345
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Mimi Joonyoung Lee
- 10 Hunter St
- Hicksville, NY
- Zip : 11801-5832
- Phone : (917) 903-7345
Second Address
- Mimi Joonyoung Lee
- 3915 Broadway
- New York, NY
- Zip : 10032-1565
- Fax : (212) 202-6447
- Phone : (212) 567-5536
Reviews
FAQs
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Is Mimi Joonyoung Lee a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 056100-1 | NY |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 265566-1 | NY |
National Provider Identifier
| NPI | 1366604829 |
|---|---|
| Provider Name | Mimi Joonyoung Lee |
| First Address | Hicksville, NY 11801-5832 |
| Second Address | New York, NY 10032-1565 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2008 |
| Last Update Date | 25/02/2016 |
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.