| Paul Jung-koon Lee, MD | |
|
1 Healthy Way, Oceanside, NY 11572-1551 | |
| (516) 632-4300 | |
| Not Available |
| Full Name | Paul Jung-koon Lee |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Infectious Diseases |
| Location | 1 Healthy Way, Oceanside, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790709970 | NPI | - | NPPES |
| 01933664 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | 188644 (New York) | Primary |
| Entity Name | Chs Physician Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124497771 PECOS PAC ID: 7618955667 Enrollment ID: O20040708000027 |
| Entity Name | Samaritan Emergency Medical Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104978014 PECOS PAC ID: 7012016660 Enrollment ID: O20070621000503 |
| Entity Name | South Nassau Physician Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922460542 PECOS PAC ID: 2264707884 Enrollment ID: O20171009001038 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Jung-koon Lee, MD 109 Bowling Ln, Deer Park, NY 11729-6724 Ph: (516) 849-0359 | Paul Jung-koon Lee, MD 1 Healthy Way, Oceanside, NY 11572-1551 Ph: (516) 632-4300 |
Lauren Shinder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3227 Long Beach Rd, Suite1, Oceanside, NY 11572 Phone: 516-897-5000 Fax: 516-431-7519 | |
Twana M Jackson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 917-744-2403 | |
Julio Valdivieso, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-632-3000 | |
Rina Jaffe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3227 Long Beach Rd, Suite 1, Oceanside, NY 11572 Phone: 516-897-5000 Fax: 516-431-7519 | |
Dr. Josiah Petersen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-632-3000 | |
Dr. Sana Ashraf, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-632-3000 | |
Christina Dagrosa, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Healthy Way, Oceanside, NY 11572 Phone: 516-632-3000 |