Provider Demographics
NPI:1568993798
Name:LEE, EUNG-MI (MD)
Entity Type:Individual
Prefix:
First Name:EUNG-MI
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:525 EAST 58TH ST
Mailing Address - Street 2:STE J-130
Mailing Address - City:NEW. YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:917-494-4639
Mailing Address - Fax:212-746-8762
Practice Address - Street 1:186 JORALEMON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4356
Practice Address - Country:US
Practice Address - Phone:212-746-3171
Practice Address - Fax:212-746-8762
Is Sole Proprietor?:No
Enumeration Date:2017-03-21
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD472427207VG0400X, 207VG0400X
NY322528-01207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology