SOOK JA LEE


Address: 4771 Hylan Blvd, Staten Island, NY 10312-6315
Phone: 7189488200

SOOK JA LEE (NPI# 1841250891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841250891
Entity Type Individual
Full Name SOOK JA LEE
Credential MD
Practice Address 4771 Hylan Blvd
Staten Island
NY 10312-6315
Mailing Address 1050 Clove Rd
Staten Island
NY 10301-3627
Practice Telephone 7189488200
Practice Fax Number 7188163611
Mailing Telephone 7188166440
Mailing Fax Number 7188163611
Enumeration Date 2006-03-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 115228 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00211954 05

Other Providers SOOK LEE

NPI Name Taxonomy Address Enumeration
1679828206 Sook J Lee Acupuncturist 7139 E Thunderbird Rd, Suite 2, Scottsdale, AZ 85254-4075 2012-07-19
1881664613 Sook L Lee Family Medicine 121 General Hospital, Apo, APO AP 2006-01-24

Office Location

Street Address 4771 HYLAN BLVD
City STATEN ISLAND
State NY
Zip Code 10312-6315

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427017391 Steven Richard Banat Psychiatry & Neurology 4771 Hylan Blvd, Staten Island, NY 10312-6315 2006-03-20
1518526839 Liliya Rozenfeld Nurse Practitioner 4771 Hylan Blvd, Staten Island, NY 10312-6315 2019-06-10
1184179111 Maria Civille Nurse Practitioner 4771 Hylan Blvd, Staten Island, NY 10312-6315 2016-08-19
1013384106 Kristin Frances Langford Physician Assistant 4771 Hylan Blvd, Staten Island, NY 10312-6315 2015-08-25
1205202769 Brinda Swaminarayan Physical Therapist 4771 Hylan Blvd, Staten Island, NY 10312-6315 2015-08-18
1174906325 Susan Ann Colford-castano Registered Nurse 4771 Hylan Blvd, Staten Island, NY 10312-6315 2015-07-07
1144636713 James Steven Cohen Registered Nurse 4771 Hylan Blvd, Staten Island, NY 10312-6315 2014-07-03
1801140983 Alexandra Lorraine Hoffmann-steiman Nurse Practitioner 4771 Hylan Blvd, Staten Island, NY 10312-6315 2012-10-29
1396090411 Igor Giterman Family Medicine 4771 Hylan Blvd, Staten Island, NY 10312-6315 2012-07-14
1407116551 Imran Khalid Internal Medicine 4771 Hylan Blvd, Staten Island, NY 10312-6315 2012-05-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841849965 Woodrow Little Smiles Family Dentistry P.C. Dentist 739 Woodrow Road, Staten Island, NY 10312 2019-09-11
1407403876 Shannen Rogozin Occupational Therapist 85 Macon Ave, Staten Island, NY 10312 2019-08-21
1972076107 Alla Nusonovna Adler Nurse Practitioner 76winchester Ave, Staten Island, NY 10312 2019-01-10
1427559145 Kelly Diefenthaler Occupational Therapist 165 Sheldon Avenue, Staten Island, NY 10312 2018-02-27
1316446776 Maria Kathleen Caras Counselor 3930 Richmond Ave, #105, Staten Island, NY 10312 2018-02-12
1487172904 Melissa Alter Counselor 31 Regent Circle, Staten Island, NY 10312 2017-09-05
1821515321 Paul Abraham Benjamin Pharmacist 127 Wainwright Avenue, Staten Island, NY 10312 2017-08-24
1588180277 Heloisa Vilas Boas Specialist 140 Laredo Avenue, Staten Island, NY 10312 2017-08-15
1245778604 Lisa Marie Cutrona Speech-Language Pathologist 536 Wilson Ave., Staten Island, NY 10312 2017-02-06
1922468016 Salvatrice Gaston Licensed Practical Nurse 97 Forest Green, Staten Island, NY 10312 2016-03-02
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396384228 Zvi Eckstein, Md PC Pediatrics 1460 Victory Blvd Ste D, Staten Island, NY 10301-3914 2019-12-23
1497250914 Hina Fatima Pediatrics 355 Bard Ave Rm 314, Staten Island, NY 10310-1699 2018-03-27
1629439427 Pm Pediatrics of Staten Island Pediatrics 2407 Richmond Ave, Staten Island, NY 10314-3906 2016-03-08
1376960831 Wing Sze Leung Pediatrics 165 Vanderbilt Avenue, Staten Island, NY 10304 2014-03-23
1245579226 Shivani S Shah Pediatrics 135 Canal St Ste 200, Staten Island, NY 10304 2013-02-11
1376882084 Attilio Antonio Avidano Pediatrics 89 Wirt Ave, Staten Island, NY 10309-4225 2013-02-01
1154604239 Chavivan Dharapak Pediatrics 290 Ridgecrest Ave, Staten Island, NY 10312-5134 2011-09-24
1649551995 Rumana Rahman Pediatrics 2066 Richmond Ave Fl 1, Staten Island, NY 10314-3960 2011-08-31
1922325232 Nilufar Begum Maniky Pediatrics 245 Granite Ave, Staten Island, NY 10303-2605 2010-04-26
1790015899 Anees Shareef Pediatrics 120 Goff Ave, Staten Island, NY 10309-2801 2010-01-12
Find all providers in STATEN ISLAND

Competitor

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City STATEN ISLAND
Zip Code 10312

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Dataset Information

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.

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