Individual
MS. DIANE EUNKYONG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 E 78TH ST APT 1H, NEW YORK, NY 10075-1217
(631) 796-0349
Mailing address
221 E 78TH ST APT 1H, NEW YORK, NY 10075-1217
(631) 796-0349
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309075-1
NY
Other
Enumeration date
07/16/2019
Last updated
09/26/2019
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