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Chan Ho Lee
Gerontology Nurse Practitioner in Flushing, New York
NPI 1518308782

Chan Ho Lee is a Gerontology Nurse Practitioner based in Flushing, NY and is specialized in Gerontology. Chan Ho Lee practices in Flushing, NY. The NPI Number for Chan Ho Lee is 1518308782 and holds a License No. F306352 (New York).

The current practice location address for Chan Ho Lee is 5645 Main St, Flushing, NY and can be reached out via phone at 718-670-2170.

Location: 5645 Main St, Flushing, NY, 11355-6035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518308782
Provider Name
Chan Ho Lee
Credential
Provider Entity Type
Individual
Gender
Male
Address
5645 Main St, Flushing, NY, 11355-6035
Phone Number
718-670-2170
Fax Number
Provider Enumeration Date
07/16/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5645 Main St
City
Flushing
State
New York
Zip
11355-5045
Phone Number
718-670-2170
Fax Number
person
Provider Business Mailing Address Details
Address
5645 Main St
City
Flushing
State
New York
Zip
11355-5045
Phone Number
718-670-2170
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
F340878 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
F306352 (New York)
Definition
Definition to come...
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