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Individual
SEAN GUANG LEE
Active
Individual
SEAN GUANG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
296810
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB10228400
STATE BOARD OF MEDICAL EXAMINERS OF NEW JERSEY
NJ
01
—
296810
NYS MEDICAL LICENSE
NY
01
—
D11168900
CDS LICENSE
NJ
Enumeration date
06/11/2015
Last updated
03/07/2023
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