NPI

Metro Dermatology of Ny,pc

NPI 1336343268

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2007-06-13
Last updated
2020-08-21

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Specialties

Licenses

License NY
186672
License NY
258414
License NY
012705
License NY
270019
License NY
191741
License NY
012529
License NY
015855
License NY
017384
License NY
017273

Location

Practice location
14472 Northern Blvd Ste 203
City
Flushing NY
Postal code
11354-4231
Phone
(718) 886-9000

Organization contact

Name
Hyun Soo Lee
Title
Owner
Phone
(718) 886-9000

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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