Provider Demographics
NPI:1821153693
Name:HYOK YOP LEE ALLERGY PC
Entity Type:Organization
Organization Name:HYOK YOP LEE ALLERGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:HYOP
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-307-6688
Mailing Address - Street 1:385 SYLVAN AVE STE 21
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2722
Mailing Address - Country:US
Mailing Address - Phone:201-568-3800
Mailing Address - Fax:201-568-3974
Practice Address - Street 1:385 SYLVAN AVE STE 21
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-2722
Practice Address - Country:US
Practice Address - Phone:201-568-3800
Practice Address - Fax:201-568-3974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA58216207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ071218Medicare PIN