Organization
LEE'S WELLNESS ACUPUNCTURE,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAE WOONG LEE LAC (PRESIDENT)
(201) 921-3180
Entity
Organization
Contact information
Practice address
105 SHAD ROW # 1C, PIERMONT, NY 10968-3001
(201) 921-3180
Mailing address
1217 16TH ST, FORT LEE, NJ 07024-1710
(201) 921-3180
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005971
—
NY
Enumeration date
11/02/2017
Last updated
12/11/2020
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