Individual
MR. JI YUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 S BROADWAY, YONKERS, NY 10701-3702
(914) 476-6060
(914) 969-4108
Mailing address
2 S BROADWAY, YONKERS, NY 10701-3702
(914) 476-6060
(914) 969-4108
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
007800
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01017647
—
NY
Enumeration date
06/21/2006
Last updated
07/08/2007
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