# K & L WELLNESS NP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154216000
- **Authorized official:** JAE EUN LEE (NP/PRESIDENT)
- **Authorized official phone:** (347) 744-4005

## Contact information

- **Practice address:** 716 BROADWAY APT 1, BAYONNE, NJ 07002-4763
- **Practice address phone:** (201) 243-6148
- **Mailing address:** 304 HICKSVILLE RD, BETHPAGE, NY 11714-3406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/11/2025
- **Last updated:** 06/11/2025