Inwhan Joshua Lee, OD | |
33 W 42nd St, New York, NY 10036-8005 | |
(888) 601-8811 | |
Not Available |
Full Name | Inwhan Joshua Lee |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 33 W 42nd St, 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 |
---|---|---|---|
1629777545 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | RT009883 (New York) | Primary |
152W00000X | Optometrist | 35378 (California) | Secondary |
Provider Name | State Of New York Comptrollers Office |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407829856 PECOS PAC ID: 0840101770 Enrollment ID: O20040514000118 |
Mailing Address | Practice Location Address |
---|---|
Inwhan Joshua Lee, OD 33 W 42nd St, New York, NY 10036-8005 Ph: (888) 601-8811 | Inwhan Joshua Lee, OD 33 W 42nd St, New York, NY 10036-8005 Ph: (888) 601-8811 |
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