HYUN-SOO LEE (NPI# 1558446674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558446674 |
| Entity Type | Individual |
| Full Name | HYUN-SOO LEE |
| Credential | M.D. |
| Practice Address |
4012 80th St Elmhurst NY 11373-1234 |
| Mailing Address |
4161 Kissena Blvd Suite 5a Concourse Level Flushing NY 11355-3181 |
| Practice Telephone | 7188869000 |
| Practice Fax Number | 7189610666 |
| Mailing Telephone | 7188869000 |
| Mailing Fax Number | 7189610666 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | MA66379 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
186672 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7458703 | 05 | |
| NY | 01761279 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164066536 | Hyun-soo Lee | Psychologist | 680 Stewart Ave, Saint Paul, MN 55102-4117 | 2019-10-29 |
| Street Address |
4012 80TH ST |
| City | ELMHURST |
| State | NY |
| Zip Code | 11373-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912954140 | Bognay Dury Domanas | Physical Therapist | 4012 80th St, Elmhurst, NY 11373-1234 | 2006-05-31 |
| 1235774811 | Samantha Hussain | Physician Assistant | 4012 80th St, Elmhurst, NY 11373-1234 | 2019-11-07 |
| 1760840201 | Hyeyoon Hannah Park | Nurse Practitioner | 4012 80th St, Elmhurst, NY 11373-1234 | 2016-01-28 |
| 1982940268 | Suraj Mathial | Physician Assistant | 4012 80th St, Elmhurst, NY 11373-1234 | 2012-12-14 |
| 1144483843 | Marie Claire Leger | Dermatology | 4012 80th St, Elmhurst, NY 11373 | 2008-07-03 |
| 1043488943 | Emmanuel Agnant | Physician Assistant | 4012 80th St, Elmhurst, NY 11373-1234 | 2008-02-13 |
| 1457549503 | Maurice Botero | Specialist | 4012 80th St, Elmhurst, NY 11373-1234 | 2007-10-12 |
| 1730201575 | Bertha Ligia Rivera | Specialist | 4012 80th St, Elmhurst, NY 11373-1234 | 2007-04-04 |
| 1124145289 | Romilla Anwar | Specialist | 4012 80th St, Elmhurst, NY 11373-1234 | 2007-03-23 |
| 1033236229 | Simon Biderman | Specialist | 4012 80th St, Elmhurst, NY 11373-1234 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152736 | Carlos Eduardo Hallo Carrasco | Student in an Organized Health Care Education/Training Program | 79-01 Broadway, 10, C 10-19a, Elmhurst, NY 11373 | 2020-07-30 |
| 1912524034 | Jurian Feygen Kaunang | Student in an Organized Health Care Education/Training Program | Bronx-lebanon Hospital Center, 1650 Grand Concourse, Bronx, NY 11373 | 2020-07-06 |
| 1407471352 | Shreeya Parajull | Student in an Organized Health Care Education/Training Program | 79-01 Broadway Elmhurst Hospital Center:, Room A7-34, Elmhurst, NY 11373 | 2020-06-16 |
| 1114542479 | Mahmud Omar Elfituri | Student in an Organized Health Care Education/Training Program | 79-01 Boradway, Elmhurst, NY 11373 | 2020-06-12 |
| 1568091452 | Nudjarin Unsin | Licensed Practical Nurse | 7517 41stave, Apt.f3, Elmhurst, NY 11373 | 2020-04-03 |
| 1154969053 | Joshua Reyes | Physician Assistant | 8839 Saint James Ave, Elmhurst, NY 11373 | 2019-12-11 |
| 1821647926 | Shahorin Monzoor | Student in an Organized Health Care Education/Training Program | 81 14 Queens Boulavard, 1st Floor, Elmhurst, NY 11373 | 2019-09-11 |
| 1174184600 | Zoila Josefina Cano Rodriguez | Student in an Organized Health Care Education/Training Program | 7802 41st Ave, Elmhurst, NY 11373 | 2019-06-25 |
| 1891355756 | Kanghee Cho | Registered Nurse | 4143 77th St Elmhurst, Elmhurst, NY 11373 | 2019-06-13 |
| 1861971947 | Allen G Luke | Acupuncturist | 86-21 53 Ave, Elmhurst, NY 11373 | 2018-08-09 |
| Find all providers in zip 11373 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528235371 | Ana M Eng Md Sc | Dermatology | 103 N Haven Rd, Ste 7, Elmhurst, IL 60126-2923 | 2008-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831541853 | Syed Morteza Abedi | Dermatology | 70 4th Pl, Apt. 2b, Brooklyn, NY 11231-4070 | 2016-07-01 |
| 1255670139 | Lewis Shapiro | Dermatology | 10 City Place - 14a, White Plains, NY 10601-3341 | 2013-02-12 |
| 1265673495 | Dr Miriam N Casal M D P C | Dermatology | 37-42 St, Jackson Heights, NY 11372 | 2009-03-18 |
| 1336343268 | Metro Dermatology of Ny,pc | Dermatology | 14472 Northern Blvd Ste 203, Flushing, NY 11354-4231 | 2007-06-13 |
| 1730213943 | Sutton Place Dermatology, P.C. | Dermatology | 445 East 58th Street, New York, NY 10022 | 2007-03-16 |
| 1346258241 | Muhlbauer Dermatopathology PC | Dermatology | 61 Monroe Avenue, Suite B, Pittsford, NY 14534 | 2006-08-04 |
| 1720057979 | Miriam Norma Casal | Dermatology | 3742 77th St, Jackson Heights, NY 11372-6630 | 2006-03-17 |
| 1609847979 | Teddy D Pan | Dermatology | 105 Everett Rd, Colonie, NY 12205-1407 | 2006-01-27 |
| 1487633970 | Wojciech Szaniawski | Dermatology | 100 Midland Ave, Port Chester, NY 10573-4943 | 2006-01-12 |
| 1912983321 | Mindy Diane Clark | Dermatology | 228 Park Ave S Ste 22156, New York, NY 10003-1502 | 2005-12-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.