Individual
YOUNJEA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2604 3RD AVE, BRONX, NY 10454-1199
(347) 834-1117
Mailing address
152 COLONIAL AVE, WILLISTON PARK, NY 11596-1527
(347) 834-1117
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F339225-1
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F403200
NY
Other
Enumeration date
12/31/2015
Last updated
12/12/2022
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