Provider Demographics
NPI:1578586467
Name:LEE, MARIA BUN-CHING (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:BUN-CHING
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7105 3RD AVE
Mailing Address - Street 2:#523
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1308
Mailing Address - Country:US
Mailing Address - Phone:718-865-9333
Mailing Address - Fax:888-972-7923
Practice Address - Street 1:7105 3RD AVE
Practice Address - Street 2:#523
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1308
Practice Address - Country:US
Practice Address - Phone:718-865-9333
Practice Address - Fax:888-972-7923
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY205873207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02611392Medicaid
NY02611392Medicaid
NY59N641Medicare ID - Type Unspecified