Provider Demographics
NPI:1366688152
Name:LEI, JUN (MD)
Entity Type:Individual
Prefix:DR
First Name:JUN
Middle Name:
Last Name:LEI
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 1:13329 41ST RD STE 1B
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3671
Mailing Address - Country:US
Mailing Address - Phone:347-732-0368
Mailing Address - Fax:347-732-0364
Practice Address - Street 1:13329 41ST RD STE 1B
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3671
Practice Address - Country:US
Practice Address - Phone:347-732-0368
Practice Address - Fax:347-732-0364
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY250716282N00000X, 207R00000X, 261QA0600X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No282N00000XHospitalsGeneral Acute Care Hospital
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care