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BOGSUN BAE LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1257 BROADWAY, NEW YORK, NY 10001-3504
(212) 684-0090
(212) 629-4749
Mailing address
1257 BROADWAY, NEW YORK, NY 10001-3504
(212) 684-0090
(212) 629-4749

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
030080
NY

Other

Enumeration date
09/25/2008
Last updated
09/25/2008
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