Healthcare Provider Details

I. General information

NPI: 1659708865
Provider Name (Legal Business Name): HHC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 10/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 EAST 102 STREET #534 NEW YORK
NEW YORK NY
10029
US

IV. Provider business mailing address

333 EAST 102 STREET #534 NEW YORK
NEW YORK NY
10029
US

V. Phone/Fax

Practice location:
  • Phone: 646-683-5249
  • Fax:
Mailing address:
  • Phone: 646-683-5249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. HONG SEOK LEE
Title or Position: MD/PGY-1
Credential:
Phone: 212-423-6771