Provider Demographics
NPI:1801252416
Name:LEE, YOON HYUNG (MD)
Entity type:Individual
Prefix:
First Name:YOON
Middle Name:HYUNG
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 W 72ND ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4119
Mailing Address - Country:US
Mailing Address - Phone:212-981-9800
Mailing Address - Fax:212-981-9818
Practice Address - Street 1:40 W 72ND ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4119
Practice Address - Country:US
Practice Address - Phone:212-981-9800
Practice Address - Fax:212-981-9818
Is Sole Proprietor?:No
Enumeration Date:2016-01-12
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD476863207WX0110X
390200000X
NY322801207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program