Provider Demographics
NPI:1235168964
Name:LEE, HAN SHIK (MD)
Entity Type:Individual
Prefix:DR
First Name:HAN
Middle Name:SHIK
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:14021 32ND AVE
Mailing Address - Street 2:SUITE C1
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-2613
Mailing Address - Country:US
Mailing Address - Phone:718-224-1600
Mailing Address - Fax:718-224-8085
Practice Address - Street 1:14021 32ND AVE
Practice Address - Street 2:SUITE C1
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-2613
Practice Address - Country:US
Practice Address - Phone:718-224-1600
Practice Address - Fax:718-224-8085
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY185465207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology