Active NPI
Seung Ho Lee, M.D.
- Psychiatry Physician
- Fallsburg, NY
National Provider Identifier
1811057516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 126895
- Practice address
- 325 Riverside Dr
Fallsburg, NY 12733-5308 - Phone
- (845) 434-2080
- Fax
- (845) 434-0918
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 126895 | NY | Primary |
Addresses
Primary practice location
325 Riverside Dr
Fallsburg, NY 12733-5308
Mailing address
PO Box 116
Fallsburg, NY 12733-0116
Phone (845) 434-2080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126895 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425254400000",
"number": "1811057516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 116",
"city": "FALLSBURG",
"state": "NY",
"postal_code": "127330116",
"telephone_number": "845-434-2080",
"fax_number": "845-434-0918"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 RIVERSIDE DR",
"city": "FALLSBURG",
"state": "NY",
"postal_code": "127335308",
"telephone_number": "845-434-2080",
"fax_number": "845-434-0918"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SEUNG HO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2015-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "126895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fallsburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.