Keun Yong Lee, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

130040 Issued in NY

Practice address

85 High St
Buffalo, NY 14203-1149

Phone

(716) 883-6800

Fax

(716) 883-6853

NPI assigned

Oct 10, 2005

Last updated

Jun 7, 2016By 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 1

Addresses

Other identifiers 1

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.

• Western New York Ear, Nose & Throat, P.C.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Orchard Park, NY
  • NPI 1487877817
  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1750379269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 SHERIDAN DR",
            "address_2": "STE 108",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142214825",
            "telephone_number": "716-630-1219",
            "fax_number": "716-817-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 HIGH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142031149",
            "telephone_number": "716-883-6800",
            "fax_number": "716-883-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEUN",
        "middle_name": "YONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "130040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00612684",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julianne Lee, DO
• Karen Jenella Lee, FNP
• Karen Kamhin Lee, PHARM.D
• Katherine Lee, MD
• Kathleen Jiyoung Lee, MD
• Laurie Lynn Lee, RN
• Lori A. Lee, D.O.
• Mary Lee
• Nathaniel Lee Jr., RPH
• Ramona L Lee, CASAC-T

• Otolaryngology Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Otolaryngology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.