IndividualActive
Jaesoo Lee, M.D.
NPI 1144301789 · Pediatric Emergency Medicine (Emergency Medicine) Physician · Brooklyn, NY
Provider details
- NPI number
- 1144301789
- Entity type
- Individual
- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 117614 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
760 Broadway
Brooklyn, NY 11206-5317
Phone: (718) 963-8000
Approximate (ZIP-level) locationGet directions
Mailing address
60 Laurel Ct
Syosset, NY 11791-1903
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.