Individual
EUNJIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 WYCKOFF AVE STE 6, BROOKLYN, NY 11237-5842
(718) 497-6090
Mailing address
315 WYCKOFF AVE STE 6, BROOKLYN, NY 11237-5842
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
P14257
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P14257
NYS OFFICE OF PROFESSIONS LCAT-LP
NY
Enumeration date
12/06/2018
Last updated
12/06/2018
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