Healthcare Provider Details

I. General information

NPI: 1902003171
Provider Name (Legal Business Name): EUGENE S LEE, DC, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 W 32ND ST SUITE#501
NEW YORK NY
10001-3816
US

IV. Provider business mailing address

38 W 32ND ST SUITE#501
NEW YORK NY
10001-3816
US

V. Phone/Fax

Practice location:
  • Phone: 212-868-0509
  • Fax: 212-760-0895
Mailing address:
  • Phone: 212-868-0509
  • Fax: 212-760-0895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX010764-1
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number002925-1
License Number StateNY

VIII. Authorized Official

Name: DR. EUGENE SEUNGKYU LEE
Title or Position: PRESIDENT
Credential: DC, LAC
Phone: 312-399-7462