Provider Demographics
NPI:1851498448
Name:LEMA, PENELOPE CHUN (MD)
Entity Type:Individual
Prefix:
First Name:PENELOPE
Middle Name:CHUN
Last Name:LEMA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PENELOPE
Other - Middle Name:SUJUNG
Other - Last Name:CHUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:COLUMBIA UNIVERSITY MEDICAL DEPT EMERGENCY MEDICINE
Mailing Address - Street 2:622 W. 168TH STREET
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032
Mailing Address - Country:US
Mailing Address - Phone:212-305-2995
Mailing Address - Fax:
Practice Address - Street 1:622 W 168TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032
Practice Address - Country:US
Practice Address - Phone:212-305-2995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238339207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02782621Medicaid