Provider Demographics
NPI:1902003171
Name:EUGENE S LEE, DC, PC
Entity Type:Organization
Organization Name:EUGENE S LEE, DC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:SEUNGKYU
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC, LAC
Authorized Official - Phone:312-399-7462
Mailing Address - Street 1:38 W 32ND ST
Mailing Address - Street 2:SUITE#501
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-3816
Mailing Address - Country:US
Mailing Address - Phone:212-868-0509
Mailing Address - Fax:212-760-0895
Practice Address - Street 1:38 W 32ND ST
Practice Address - Street 2:SUITE#501
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3816
Practice Address - Country:US
Practice Address - Phone:212-868-0509
Practice Address - Fax:212-760-0895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010764-1111N00000X
NY002925-1171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Not Answered171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty