Provider Demographics
NPI:1912208141
Name:LEE, SUK HING (RN, LPN, LMT)
Entity Type:Individual
Prefix:MISS
First Name:SUK HING
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:RN, LPN, LMT
Other - Prefix:MISS
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 750705
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-0705
Mailing Address - Country:US
Mailing Address - Phone:917-833-8610
Mailing Address - Fax:
Practice Address - Street 1:13912 84TH DR
Practice Address - Street 2:SUITE 2H
Practice Address - City:BRIARWOOD
Practice Address - State:NY
Practice Address - Zip Code:11435-1826
Practice Address - Country:US
Practice Address - Phone:917-833-8610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22 623367163W00000X, 163WM1400X
NY10 272990164W00000X
171R00000X
NY27 019603225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM1400XNursing Service ProvidersRegistered NurseNurse Massage Therapist (NMT)
No163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse
No171R00000XOther Service ProvidersInterpreter
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist