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Individual

BRIAN TAEHYUNG LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
21 CHATSWORTH AVE, LARCHMONT, NY 10538-2903
(914) 833-4103
(914) 833-4166
Mailing address
3965 SEDGWICK AVE APT 5F, BRONX, NY 10463-3135
(914) 433-1283

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
058316
NY

Other

Enumeration date
08/23/2014
Last updated
08/23/2014
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