Jungeun Jay Lee, MD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Gloversville, New York. Jungeun Jay Lee is licensed to practice in New York (license number 108212) and his current practice location is 99 E State St, Gloversville, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 389-1725.
NPI number for Jungeun Jay Lee is 1659362671 and his current mailing address is Po Box 363, Latham, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659362671.
Physician's Profile
| Full Name | Jungeun Jay Lee |
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| Gender | Male |
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| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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| Location | 99 E State St, Gloversville, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1659362671
- Provider Enumeration Date: 10/31/2005
- Last Update Date: 04/13/2020
Medical Identifiers
Medical identifiers for Jungeun Jay Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659362671 | NPI | - | NPPES |
| 01121535 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 108212 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jungeun Jay Lee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jungeun Jay Lee, MD
Po Box 363,
Latham, NY 12110-0363
Ph: (518) 389-1803 | Jungeun Jay Lee, MD
99 E State St,
Gloversville, NY 12078-1203
Ph: (518) 389-1725 |
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