Individual
MR. JIMMY CHUNG LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
84 BOWERY, 4TH FLOOR, NEW YORK, NY 10013-4608
(212) 334-7475
Mailing address
39 HOWITT RD, WEST ROXBURY, MA 02132-6401
(617) 461-3112
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
255541
NY
Other
Enumeration date
08/26/2010
Last updated
08/26/2010
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