=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083540389
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HYUNSEUNG LEE FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/23/2026
-----------------------------------------------------
Last Update Date | 06/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 40 FLATBUSH AVENUE EXT
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11201-2903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-215-1818
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9 PLEASANT ST APT B
-----------------------------------------------------
City | VERNON ROCKVILLE
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06066-3347
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-349-8828
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | N13246
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------