Individual provider · Type 1 NPI

Jaeyop Lee, MD, PhD

General Practice Physician · New York, NY

NPI number 1174186597 Active

Practice location

1275 York Ave
New York, NY 10065-6007

Call (212) 639-2000 Map

Mailing address

4427 Purves St
Long Island City, NY 11101-2946

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Physician Primary 208D00000X310062-01 (NY)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1174186597

Jaeyop Lee, MD, PhD's National Provider Identifier is 1174186597, issued on Apr 22, 2019. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in New York, NY. The record was last updated on May 19, 2025.