Healthcare Provider Details

I. General information

NPI: 1457289209
Provider Name (Legal Business Name): HSUAN-TUNG LEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79-01 BROADWAY ELMHURST HOSPITAL CENTER
ELMHURST NY
11373
US

IV. Provider business mailing address

2340 WELLS FERRY ST. APT 308
WESLEY CHAPEL FL
33544
US

V. Phone/Fax

Practice location:
  • Phone: 718-334-4000
  • Fax:
Mailing address:
  • Phone: 551-323-3540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: