Provider Demographics
NPI:1902912249
Name:LEE, HYOK Y (MD)
Entity Type:Individual
Prefix:DR
First Name:HYOK
Middle Name:Y
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 SYLVAN AVE STE 21
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2722
Mailing Address - Country:US
Mailing Address - Phone:201-568-3800
Mailing Address - Fax:732-494-9098
Practice Address - Street 1:150 MIDDLESEX AVE
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-1653
Practice Address - Country:US
Practice Address - Phone:732-767-0955
Practice Address - Fax:732-662-3517
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA05821600207K00000X
NJMA58216207KA0200X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
035547Medicare ID - Type Unspecified
NJH10779Medicare UPIN