Chang Suk Lee, M.D.
Internal Medicine in Flushing, NY. Individual provider (NPI-1).
NPI number1154417871
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154417871
- Entity type
- Individual (NPI-1)
- Name
- Chang Suk Lee
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 180370 | NY | Yes |
Practice location
38-05 Bowne St.Flushing, NY 11354
Phone 718-762-4400 · Fax 718-463-2074
Mailing address
38-05 Bowne St.Flushing, NY 11354
Phone 718-762-4400 · Fax 718-463-2074
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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