Individual
IKJAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 W 168TH ST # NI-3, NEW YORK, NY 10032-3726
(212) 305-6788
(212) 305-1504
Mailing address
710 W 168TH ST # NI-3, NEW YORK, NY 10032-3726
(212) 305-6788
(212) 305-1504
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
304067
NY
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
MD.34939
AL
Other
Enumeration date
06/28/2011
Last updated
09/18/2020
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