HAN SHIK LEE MD PC (NPI# 1790814390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790814390 |
| Entity Type | Organization |
| Organization Name | HAN SHIK LEE MD PC |
| Practice Address |
14021 32nd Ave Suite C1 Flushing NY 11354-2613 |
| Practice Telephone | 7182241600 |
| Practice Fax Number | 7182248085 |
| Mailing Telephone | 7182241600 |
| Mailing Fax Number | 7182248085 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2012-09-27 |
| Authorized Official Name | DR. HAN SHIK LEE (PRESIDENT MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7182241600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 185465 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03418384 | 05 | |
| NY | SUPPLIER MEDICARE DME | 6683160001 | 01 |
| Street Address |
14021 32ND AVE SUITE C1 |
| City | FLUSHING |
| State | NY |
| Zip Code | 11354-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235168964 | Han Shik Lee | Anesthesiology | 14021 32nd Ave, Suite C1, Flushing, NY 11354-2613 | 2006-07-03 |
| 1588921399 | Mitalben R Patel | Physical Therapy Assistant | 14021 32nd Ave, Apt#3f-n, Flushing, NY 11354-2613 | 2012-04-18 |
| 1144519042 | Tri-star Physician, LLC | Anesthesiology | 14021 32nd Ave, Suite C1, Flushing, NY 11354-2613 | 2011-03-31 |
| 1992905533 | Robert Byron Kim | Anesthesiology | 14021 32nd Ave, Suite C1, Flushing, NY 11354-2613 | 2007-07-23 |
| 1871694737 | Michael Opiniano Urban | Physical Therapist | 14021 32nd Ave, Suite C1, Flushing, NY 11354-2613 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388157 | Laeana Rodriguez | Speech-Language Pathologist | 30-04 146th St, Flushing, NY 11354 | 2020-08-25 |
| 1508402413 | United Community Anesthesia Care Pllc | Anesthesiology | 3636 Maint St, 1s, Flushing, NY 11354 | 2019-11-26 |
| 1922658087 | Xiaoyan Fei | Social Worker | Charles B. Wang Community Health Center 136-26 37th Ave, Flushing, NY 11354 | 2019-09-19 |
| 1235797655 | Life Improvement Homecare, Inc. | Durable Medical Equipment & Medical Supplies | 38-08 Union Street, Suite 2j, Flushing, NY 11354 | 2019-05-31 |
| 1497214985 | Justin Young Lee | Registered Nurse | 143-23 38th Ave, Apt 2c, Flushing, NY 11354 | 2019-03-14 |
| 1669930962 | Jacqueline Nicole Liu | Student in an Organized Health Care Education/Training Program | 29-30 138th Street, Apartment 3f, Flushing, NY 11354 | 2019-03-05 |
| 1275003378 | Janet Poon | Pharmacist | 35-19 Leavitt St., #51, Flushing, NY 11354 | 2018-11-30 |
| 1659856490 | Xiaohui Wang Medical Pllc | Obstetrics & Gynecology | 135 16 Roosevelt Avenue, 3rd Floor, Flushing, NY 11354 | 2018-09-27 |
| 1063990687 | Harmony Care Physical Therapy PC | Clinic/Center | 35-05 Farrington Street, Ste A, Flushing, NY 11354 | 2018-08-06 |
| 1356827604 | Theresa S Cheung | Nurse Practitioner | 39-07 Prince St, Ste 3h, Flushing, NY 11354 | 2018-07-18 |
| Find all providers in zip 11354 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396375515 | Mariyam Yagudayeva | Specialist | 15005 78th Ave, Flushing, NY 11367-3436 | 2020-01-16 |
| 1922648823 | Aina Yao | Specialist | 2616 Union St Apt 6a, Flushing, NY 11354-1722 | 2020-01-09 |
| 1528612090 | Leora A Shimunov | Specialist | 147-32 70th Ave, Flushing, NY 11367 | 2019-08-01 |
| 1245882422 | Elaine M Hirakis | Specialist | 17311 47th Ave, Flushing, NY 11358-3804 | 2019-07-09 |
| 1235791807 | Rivka Balgley | Specialist | 14438 75th Rd Apt 1b, Flushing, NY 11367-2426 | 2019-07-03 |
| 1801352125 | Mayra Alejandra Reyes Ruiz I | Specialist | 15417 65th Ave, Flushing, NY 11367-1226 | 2019-02-11 |
| 1710450242 | Grow and Develop With Inessa LLC | Specialist | 15034 76th Rd, Flushing, NY 11367-3141 | 2019-01-08 |
| 1649743295 | Alma Beltran | Specialist | 14437 79th Ave Apt 1p, Flushing, NY 11367-3751 | 2019-01-07 |
| 1477037943 | Parvin Jabbari | Specialist | 2704 Parsons Blvd Apt 3g, Flushing, NY 11354-1301 | 2018-09-20 |
| 1821586470 | Eastern Chinese American Physician Ipa, Inc. | Specialist | 13620 38th Ave Ste 5j, Flushing, NY 11354-4232 | 2018-04-30 |
| Find all providers in FLUSHING | ||||
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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.