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

Cheol Woong Lee

Individual provider Family Nurse Practitioner · NPI 1881086874

Cheol Woong Lee is a Nurse Practitioner in Hicksville, New York. Qualified in 2014, 12 years ago. Practices with Medical Services of Northeastern Queens PLLC, a 31-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

47 Ball Park Ln
Hicksville, NY 11801-4501
Phone: (646) 236-8847
Fax: (516) 934-0246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F339369 (NY)

Record details

NPI number1881086874
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 27, 2015
Last updated in NPPESJune 17, 2016
Mailing address47 Ball Park Ln, Hicksville, NY 11801-4501

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Medical Services Of Northeastern Queens Pllc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hicksville