Healthcare Provider Details
I. General information
NPI: 1114851599
Provider Name (Legal Business Name): HSUANYI LEE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3004 146TH ST
FLUSHING NY
11354-2324
US
IV. Provider business mailing address
50 BATTERY PL APT 5J
NEW YORK NY
10280-1528
US
V. Phone/Fax
- Phone: 718-962-0888
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: