Han Soo Lee, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

109244 Issued in NY

Practice address

221 Broadway
Suite 303
Amityville, NY 11701-2747

Phone

(631) 789-7809

Fax

(631) 789-8571

NPI assigned

Dec 8, 2006

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Han Soo Lee Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay Shore Medical Services, P.C.

  • Addiction Psychiatry Physician
  • Bay Shore, NY
  • NPI 1427379932
  NPD (past)
• Linda Low, Inc

  • Psychiatry Physician
  • Amityville, NY
  • NPI 1710047360
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1740340116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DELAMAR COURT",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115421792",
            "telephone_number": "516-676-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BROADWAY",
            "address_2": "SUITE 303",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012747",
            "telephone_number": "631-789-7809",
            "fax_number": "631-789-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "HAN",
        "middle_name": "SOO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "109244",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "109244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAN SOO",
            "last_name": "LEE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tanisha Nichole Latimore, RN
• Mezida Lazare I
• Tanya Leacock, RN
• Yousline Allen Leblanc, RPH
• Margara Alina Lecca Espejo, M.D.
• Kevin Lee, LCSW
• Kwang Soo Lee, MD
• Melissa A. Lees, RN
• Jessie Leete, LCAT, ATR-BC
• Sharlene Legendre

• Child & Adolescent Psychiatry Physician in Amityville, NY
• Providers in Amityville, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.