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

Su Jung Lee

Individual provider Family Nurse Practitioner · NPI 1649711607

Su Jung Lee is a Family Nurse Practitioner in Bronx, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017

Practice location Address checks out

2015 Grand Concourse
Bronx, NY 10453-4303
Phone: (718) 299-7295
Fax: (718) 299-6797
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F339575 (NY)

Record details

NPI number1649711607
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2017
Last updated in NPPESMarch 30, 2017

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