Healthcare Provider Details

I. General information

NPI: 1184252686
Provider Name (Legal Business Name): ERIC HYUNWOO LEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 E 39TH ST
NEW YORK NY
10016-0112
US

IV. Provider business mailing address

6 E 39TH ST
NEW YORK NY
10016-0112
US

V. Phone/Fax

Practice location:
  • Phone: 646-718-3831
  • Fax: 646-974-9491
Mailing address:
  • Phone: 646-718-3831
  • Fax: 646-974-9491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number32152601
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: