Provider Demographics
NPI:1700284478
Name:LEE, SUN SOOK (LAC)
Entity type:Individual
Prefix:MS
First Name:SUN SOOK
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3819 UNION ST STE 207
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-5588
Mailing Address - Country:US
Mailing Address - Phone:718-300-2777
Mailing Address - Fax:
Practice Address - Street 1:3819 UNION ST STE 207
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5588
Practice Address - Country:US
Practice Address - Phone:718-300-2777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-12
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000077743237700000X
NY007084171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No171100000XOther Service ProvidersAcupuncturist