Organization
K & L WELLNESS NP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE EUN LEE (NP/PRESIDENT)
(347) 744-4005
Entity
Organization
Contact information
Practice address
716 BROADWAY APT 1, BAYONNE, NJ 07002-4763
(201) 243-6148
Mailing address
304 HICKSVILLE RD, BETHPAGE, NY 11714-3406
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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