Dr Melissa Koom Joo Lee- Kung, OD, MS, FAAO | |
1305 York Ave, 11th Fl, New York, NY 10021-5663 | |
(646) 962-2020 | |
Not Available |
Full Name | Dr Melissa Koom Joo Lee- Kung |
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Gender | Female |
Speciality | Optometrist - Corneal And Contact Management |
Location | 1305 York Ave, 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 |
---|---|---|---|
1063481000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | VUT006538 (New York) | Primary |
Provider Name | Weill Medical College Of Cornell |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1982918215 PECOS PAC ID: 6800709023 Enrollment ID: O20101208000312 |
Mailing Address | Practice Location Address |
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Dr Melissa Koom Joo Lee- Kung, OD, MS, FAAO 1305 York Ave, 11th Fl, New York, NY 10021-5663 Ph: (646) 962-2020 | Dr Melissa Koom Joo Lee- Kung, OD, MS, FAAO 1305 York Ave, 11th Fl, New York, NY 10021-5663 Ph: (646) 962-2020 |
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