Individual ProviderHyojeong LeeNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2024 Creston Ave, Bronx, NY 10453-4244(347) 758-6841(646) 299-5365PECOS EnrollmentBased on the most recent information from CMS, provider Hyojeong Lee does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1205268737Provider TypeIndividualFull NameLee, HyojeongGenderFemaleSole ProprietorNoEnumeration Date8/7/2013Last Updated8/7/2013Contact InformationPractice LocationPractice Address2024 Creston Ave, Bronx, NY 10453-4244Phone(347) 758-6841FaxUnlisted FaxMailing LocationMailing Address266 Bedford Park Blvd Apt 4a, Bronx, NY 10458-2536Phone(646) 299-5365FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF338170New York