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Individual

DR. DAHJEN LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
86 BOWERY FL 5, NEW YORK, NY 10013-4615
(212) 343-0379
(212) 343-0393
Mailing address
191 MELHORN RD, STATEN ISLAND, NY 10314-5555
(718) 698-0555

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
182896
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01253832
NY
Enumeration date
09/15/2006
Last updated
11/24/2010
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