Provider Demographics
NPI:1871767764
Name:LEE, KWUN KAU (OPTICIAN)
Entity type:Individual
Prefix:MR
First Name:KWUN
Middle Name:KAU
Last Name:LEE
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:111 E 59TH ST
Mailing Address - Street 2:9 FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1202
Mailing Address - Country:US
Mailing Address - Phone:212-821-9264
Mailing Address - Fax:212-821-9710
Practice Address - Street 1:111 E 59TH ST
Practice Address - Street 2:9 FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1202
Practice Address - Country:US
Practice Address - Phone:212-821-9264
Practice Address - Fax:212-821-9710
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY0074471156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician