MIJUNG LEE (NPI# 1093970048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093970048 |
| Entity Type | Individual |
| Full Name | MIJUNG LEE |
| Other Name | DR. MIJUNG LEE |
| Credential | M.D. |
| Practice Address |
750 E Adams St Syracuse NY 13210-2342 |
| Mailing Address |
750 E Adams St Syracuse NY 13210-2306 |
| Practice Telephone | 3154644353 |
| Mailing Telephone | 3154644353 |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2014-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
271805 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962827915 | Mijung Lee | Acupuncturist | 8209 Cornerstone Way, Elkridge, MD 21075-6296 | 2014-02-27 |
| Street Address |
750 E ADAMS ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003193 | Aqeel A Sandhu | Specialist | 750 E Adams St, Syracuse, NY 13210-2306 | 2005-06-15 |
| 1770183972 | Subhashree Dasgupta | Speech-Language Pathologist | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-10-27 |
| 1841890118 | Danielle Coniglio Gonzalez | Physical Medicine & Rehabilitation | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-10-27 |
| 1497353858 | Kayleigh M Gifford | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-10-16 |
| 1578160891 | Steven Lounsbury | Physical Therapist | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-10-09 |
| 1306453295 | Sarah Persons | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-09-25 |
| 1356956270 | Carlo Manalo Dangcalan | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-09-09 |
| 1104430396 | Rida Sherwani | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-09-03 |
| 1003420803 | Michel Tawil | Student in an Organized Health Care Education/Training Program | 750 E Adams St, Syracuse, NY 13210-2306 | 2020-08-31 |
| 1669085056 | Komal Syeda | Nurse Practitioner | 750 E Adams St, Syracuse, NY 13210-1834 | 2020-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417991654 | Frank Peter Paolozzi | Internal Medicine | 800 Irving Ave., Syracuse Va Medical Center, Syracuse, NY 13210 | 2006-06-16 |
| 1144877390 | Marianne Thurm | Internal Medicine | 750 E Adams St, Syracuse, NY 13210-1834 | 2019-08-22 |
| 1972930998 | Abirami Sivapiragasam | Internal Medicine | 750 E Adams St, Syracuse, NY 13210-2306 | 2013-10-04 |
| 1053601732 | Dorothy C. Pan | Internal Medicine | 750 E Adams St, Regional Oncology Center, Syracuse, NY 13210-2342 | 2011-04-14 |
| 1922311992 | Aarati Poudel | Internal Medicine | Department of Veterans Affairs, 800 Irving Ave, Syracuse, NY 13210-4122 | 2010-07-20 |
| 1952469843 | Syracuse Hematology Oncology PC | Internal Medicine | 2200 E Genesee St, Syracuse, NY 13210 | 2006-12-05 |
| 1275567752 | Jonathan Wright | Internal Medicine | 750 E Adams St, Regional Oncology Center, Syracuse, NY 13210-2306 | 2006-07-10 |
| 1528090248 | Stephen L Graziano | Internal Medicine | 750 E Adams St, Regional Oncology Center, Syracuse, NY 13210-2306 | 2006-07-06 |
| 1235168238 | Sheila M Lemke | Internal Medicine | 750 E Adams St, Regional Oncology Center, Syracuse, NY 13210-2306 | 2006-07-02 |
| 1962431767 | Bernard J Poiesz | Internal Medicine | 750 E Adams St, Regional Oncology Center, Syracuse, NY 13210-2306 | 2006-07-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.