Song Eun Lee, MD
Ophthalmology in Ridgewood, New Jersey
1972747749- Practice location
- 1200 E Ridgewood Ave, Ste #207, Ridgewood, NJ 07450-3952
- Phone
- 201-612-9600
- Fax
- 201-612-0428
- Last updated
- September 10, 2015
Song Eun Lee is an Ophthalmology based in Ridgewood, NJ. Song Eun Lee practices in Ridgewood, NJ and has the professional credentials of MD. The NPI Number for Song Eun Lee is 1972747749 and holds a License No. 25MA09694900 (NJ). The current practice location address for Song Eun Lee is 1200 E Ridgewood Ave, Ste #207, Ridgewood, NJ 07450-3952 and can be reached out via phone at 201-612-9600 and via fax at 201-612-0428.
Provider Profile Details
- NPI Number
- 1972747749
- Provider Name
- Song Eun Lee
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1200 E Ridgewood Ave, Ste #207, Ridgewood, NJ 07450-3952
- Phone Number
- 201-612-9600
- Fax Number
- 201-612-0428
- Primary Taxonomy
- Ophthalmology · 207W00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 23, 2009
- Last Update Date
- September 10, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1200 E Ridgewood Ave
Ste #207
Ridgewood, NJ 07450-3952 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-3952
- Phone Number
- 201-612-9600
- Fax Number
- 201-612-0428
Provider Business Mailing Address Details
- Address
- 1200 E Ridgewood Ave
Ste #207
Ridgewood, NJ 07450-3952 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-3952
- Phone Number
- 201-612-9600
- Fax Number
- 201-612-0428
License Information
- License Number
- 25MA09694900
- License State
- NJ
- Taxonomy
- Ophthalmology · 207W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Ophthalmology providers near Ridgewood, NJ
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- Bradford C. Liva, M.d.,paOphthalmology · NPI 1871817866
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- David M Benderson, MDOphthalmology · NPI 1568597334
- Dr. Boyd H Seidenberg, MDOphthalmology · NPI 1518992890
Frequently Asked Questions
What is the NPI number of Song Eun Lee, MD?
The NPI number of Song Eun Lee, MD is 1972747749. It was assigned on April 23, 2009 and is currently active in the NPPES registry.
What is the specialty of Song Eun Lee, MD?
Song Eun Lee, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NJ under license number 25MA09694900.
Where does Song Eun Lee, MD practice?
The practice location is 1200 E Ridgewood Ave, Ste #207, Ridgewood, NJ 07450-3952. The office can be reached at 201-612-9600 (phone) or 201-612-0428 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972747749 directly on the NPPES registry website.