Individual
SUNGBAE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
228 N CEDAR ST, MASSAPEQUA, NY 11758-2819
(516) 541-0480
Mailing address
228 N CEDAR ST, MASSAPEQUA, NY 11758-2819
(516) 541-0480
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
000065
NY
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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