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

Ju An Lee

Individual provider Physician Assistant · NPI 1780420117

Ju An Lee is a Physician Assistant in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
Specialties on file
2

Practice location Address checks out

355 Bard Ave
Staten Island, NY 10310-1664
Phone: (844) 934-2273
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032237 (NY)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1780420117
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 4, 2024
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

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