Individual
YEOJEONG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3825 PARSONS BLVD STE 1G, FLUSHING, NY 11354-5839
(718) 353-4100
Mailing address
21731 53RD AVE, BAYSIDE HILLS, NY 11364-1408
(917) 504-4414
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
339232
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
339232
NP
NY
Enumeration date
04/14/2015
Last updated
04/14/2015
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