Minkyung Lee, NP | |
560 Main St Apt 412, New York, NY 10044-0012 | |
(917) 239-6475 | |
Not Available |
Full Name | Minkyung Lee |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 560 Main St Apt 412, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932708229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LA2200X | Nurse Practitioner - Adult Health | F309993-01 (New York) | Primary |
Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Other Medical Care Group |
Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
Mailing Address | Practice Location Address |
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Minkyung Lee, NP 560 Main St Apt 412, New York, NY 10044-0012 Ph: (917) 239-6475 | Minkyung Lee, NP 560 Main St Apt 412, New York, NY 10044-0012 Ph: (917) 239-6475 |
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