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Individual

JOONSEO LEE

Active
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Individual

JOONSEO LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
002464
NY
225100000X
Physical Therapist
Primary
015671
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
015617
HIP
NY
05
02298011
NY
01
6606159
GHI PPO
NY
01
7749253
AETNA
NY
01
N89704
HEALTHNET
NY
01
P00000061357
GHI HMO
NY
01
P3304320
OXFORD
NY
01
Q11Q51
EMPIRE BCBS
NY
Enumeration date
06/22/2006
Last updated
06/10/2024
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