Individual provider · Type 1 NPI

Ju An Lee

Physician Assistant · Staten Island, NY

NPI number 1780420117 Active

Practice location

355 Bard Ave
Staten Island, NY 10310-1664

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Physician Assistant Primary 363A00000X032237 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1780420117

Ju An Lee's National Provider Identifier is 1780420117, issued on Jul 4, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 13, 2025.