Doctor Name: | CHUNG S LEE |
NPI Number: | 1952524134 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 157005 |
Business Practice Address: | 1200 E And West Rd West Seneca, NY - 142243604 |
Business Phone Number: | 7166746300 |
Business Fax Number: | |
Mailing Address: | 5557 Hidden Pines Ct, WILLIAMSVILLE |
State: | NY |
Postal Code: | 142212844 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 157005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |