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Cheol Woong Lee
Family Nurse Practitioner in Hicksville, New York
NPI 1881086874

Cheol Woong Lee is a Family Nurse Practitioner based in Hicksville, NY and is specialized in Family. Cheol Woong Lee practices in Hicksville, NY. The NPI Number for Cheol Woong Lee is 1881086874 and holds a License No. F339369 (New York).

The current practice location address for Cheol Woong Lee is 47 Ball Park Ln, Hicksville, NY and can be reached out via phone at 646-236-8847 and via fax at 516-934-0246.

Location: 47 Ball Park Ln, Hicksville, NY, 11801-4501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881086874
Provider Name
Cheol Woong Lee
Credential
Provider Entity Type
Individual
Gender
Male
Address
47 Ball Park Ln, Hicksville, NY, 11801-4501
Phone Number
646-236-8847
Fax Number
516-934-0246
Provider Enumeration Date
02/27/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04100538 05 NY
institution
Provider Business Practice Location Address Details
Address
47 Ball Park Ln
City
Hicksville
State
New York
Zip
11801-4501
Phone Number
646-236-8847
Fax Number
516-934-0246
person
Provider Business Mailing Address Details
Address
47 Ball Park Ln
City
Hicksville
State
New York
Zip
11801-4501
Phone Number
646-236-8847
Fax Number
516-934-0246
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F339369 (New York)
Definition
Definition to come...
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