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Organization
J LEE PHYSICAL THERAPY P.C
Active
Organization
J LEE PHYSICAL THERAPY P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAEKWAN LEE (PRESIDENT)
(718) 463-6700
Entity
Organization
Contact information
Practice address
16410 NORTHERN BLVD STE 201, FLUSHING, NY 11358-2668
(718) 463-6700
(718) 463-6174
Mailing address
16410 NORTHERN BLVD STE 201, FLUSHING, NY 11358-2668
(718) 463-6700
(718) 463-6174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528671146
NPI
NY
Enumeration date
08/24/2020
Last updated
02/01/2023
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