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Contact Information

KWANG S LEE, MD
221 BROADWAY
SUITE 303
AMITYVILLE, NY11701
 Phone: 631-789-7448
 Fax: 631-789-8571
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for KWANG S LEE · (Male)

NPI # 1295893394
Status Active
Credentials MD
Entity Individual
Enumeration date 12/04/2006
Last updated 03/15/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 119206
  • NY Medicaid 00763828
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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