Provider Demographics
NPI:1447496062
Name:CHUN YUK LEE DDS PC
Entity type:Organization
Organization Name:CHUN YUK LEE DDS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHUN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:646-483-7603
Mailing Address - Street 1:273 GRAND ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-4417
Mailing Address - Country:US
Mailing Address - Phone:212-219-3353
Mailing Address - Fax:212-219-3354
Practice Address - Street 1:15 BROAD ST
Practice Address - Street 2:#3108
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10005-1923
Practice Address - Country:US
Practice Address - Phone:646-483-7603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-02
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0501311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty