DR. KEUN YONG LEE (NPI# 1750379269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750379269 |
| Entity Type | Individual |
| Full Name | DR. KEUN YONG LEE |
| Credential | MD |
| Practice Address |
85 High St Buffalo NY 14203-1149 |
| Mailing Address |
6255 Sheridan Dr Ste 108 Williamsville NY 14221-4825 |
| Practice Telephone | 7168836800 |
| Practice Fax Number | 7168836853 |
| Mailing Telephone | 7166301219 |
| Mailing Fax Number | 7168171726 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2016-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 130040 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00612684 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578684080 | Keun Chan Lee | Dentist | 12531 E Carson St, Hawaiian Gardens, CA 90716 | 2007-04-02 |
| 1871080317 | Keun Lee | Student in an Organized Health Care Education/Training Program | 20900 Biscayne Blvd, Aventura, FL 33180-1407 | 2018-04-19 |
| Street Address |
85 HIGH ST |
| City | BUFFALO |
| State | NY |
| Zip Code | 14203-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548254840 | David Jeffrey Rodman | Ophthalmology | 85 High St, Buffalo, NY 14203-1149 | 2005-09-01 |
| 1114540242 | Madalyn M Rossi | Pharmacist | 85 High St, Buffalo, NY 14203-1149 | 2020-05-23 |
| 1922638188 | Stephen Cicero | Physician Assistant | 85 High St, Buffalo, NY 14203-1149 | 2020-01-16 |
| 1699318030 | Buffalo Medical Group, PC | Clinic/Center | 85 High St, Buffalo, NY 14203-1149 | 2019-10-17 |
| 1548810740 | Robert A Sperrazza | Physician Assistant | 85 High St, Buffalo, NY 14203-1194 | 2019-09-19 |
| 1609423375 | Elizabeth Maguder | Physician Assistant | 85 High St, Buffalo, NY 14203-1149 | 2019-08-19 |
| 1093368144 | Bridget Patricia Smith | Physician Assistant | 85 High St, Buffalo, NY 14203-1194 | 2019-07-18 |
| 1497314785 | Christopher Robert Kaiser | Physician Assistant | 85 High St, Buffalo, NY 14203-1149 | 2019-06-10 |
| 1114585692 | Robert Allan Bennett | Pharmacist | 85 High St, Buffalo, NY 14203-1149 | 2019-05-30 |
| 1114581782 | Ninad Sanghani | Nurse Practitioner | 85 High St, Buffalo, NY 14203-1149 | 2019-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514902 | Valerie Anne Conley | Counselor | 475 Elllicott St., Buffalo, NY 14203 | 2020-09-24 |
| 1457975674 | Qing Ma | Pharmacist | Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 | 2020-06-03 |
| 1265056659 | Elizabeth Nicole Mancuso | Student in an Organized Health Care Education/Training Program | 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 | 2020-06-02 |
| 1720601404 | Ronak Dhiraj Bahuva | Student in an Organized Health Care Education/Training Program | 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 | 2020-05-28 |
| 1780207266 | Jaya Mishra | Student in an Organized Health Care Education/Training Program | 818 Ellicot Street, Buffalo, NY 14203 | 2020-05-19 |
| 1013530617 | Amanpreet Kaur Singh | Student in an Organized Health Care Education/Training Program | 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 | 2020-05-19 |
| 1013538917 | Leen Hosam Alyacoub | Student in an Organized Health Care Education/Training Program | 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 | 2020-05-01 |
| 1003436601 | Maxiam Dean | Student in an Organized Health Care Education/Training Program | Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 | 2020-04-23 |
| 1144849837 | Jennifer Anthone-kloss | Student in an Organized Health Care Education/Training Program | Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 | 2020-04-13 |
| 1821658873 | Peter William Ip Fung Chun | Student in an Organized Health Care Education/Training Program | 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 | 2019-06-20 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938959 | Tony Richa | Otolaryngology | Elm and Carlton Streets Head and Neck Surgical Oncology, Buffalo, NY 14263-0001 | 2019-05-22 |
| 1801851803 | Peter A Campione | Otolaryngology | 518 Abbott Rd, Buffalo, NY 14220-1745 | 2006-04-20 |
| 1689646739 | David A Sherris | Otolaryngology | 1237 Delaware Ave, Buffalo, NY 14209-1435 | 2006-02-03 |
| 1548268410 | Robin Beth Miller | Otolaryngology | 2121 Main St Ste 221, Buffalo, NY 14214-2689 | 2005-07-13 |
| 1033686340 | Carolyn Marie Cormier | Otolaryngology | 1083 Delaware Ave, Buffalo, NY 14209-1674 | 2018-10-25 |
| 1790263549 | Laila Al Masaoudi | Otolaryngology | 665 Elm St, Buffalo, NY 14203-1104 | 2018-08-03 |
| 1427324417 | Ryan Patrick Mcspadden | Otolaryngology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2012-03-24 |
| 1154650935 | Kien Thuan Le | Otolaryngology | 100 High St, Buffalo, NY 14203-1126 | 2009-12-08 |
| 1053577924 | Jon Michael Chan | Otolaryngology | Elm and Carlton Streets, Buffalo, NY 14263-3782 | 2008-07-31 |
| 1992902589 | Hassan Arshad | Otolaryngology | Elm and Carlton St, Buffalo, NY 14263-0001 | 2007-06-28 |
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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.