Individual
JAESOO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-8000
Mailing address
60 LAUREL CT, SYOSSET, NY 11791-1903
(516) 692-3139
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
117614
NY
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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