Provider Demographics
NPI:1710246814
Name:LEE, SANG HOON (ACUPUNCTURIST)
Entity Type:Individual
Prefix:MR
First Name:SANG HOON
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38W 32ND STREET
Mailing Address - Street 2:FLOOR 10
Mailing Address - City:MANHATTAN NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10001
Mailing Address - Country:US
Mailing Address - Phone:214-714-1004
Mailing Address - Fax:212-714-1009
Practice Address - Street 1:38W 32ND STREET
Practice Address - Street 2:FLOOR 10
Practice Address - City:MANHATTAN NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10001
Practice Address - Country:US
Practice Address - Phone:214-714-1004
Practice Address - Fax:212-714-1009
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004797-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist