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Individual

MR. PETER KANG WOO LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16611 65TH AVENUE, FRESH MEADOWS, NY 11365-1917
(917) 647-6498
Mailing address
16611 65TH AVENUE, FRESH MEADOWS, NY 11365-1917
(917) 647-6498

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1429161
NY

Other

Enumeration date
07/17/2008
Last updated
07/17/2008
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