Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chan Ho Lee

Individual provider Gerontology Nurse Practitioner · NPI 1518308782

Chan Ho Lee is a Gerontology Nurse Practitioner in Flushing, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
Specialties on file
2

Practice location Address checks out

5645 Main St
Flushing, NY 11355-5045
Phone: (718) 670-2170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F306352 (NY)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence F340878 (NY)

Record details

NPI number1518308782
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 16, 2013
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address14026 Cherry Ave Apt 4e, Flushing, NY 11355-6035

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