Individual
SUYOUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 ENGLE ST, ENGLEWOOD, NJ 07631-2938
(201) 922-4488
Mailing address
2619 30TH ST, ASTORIA, NY 11102-1775
(516) 888-9322
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00151100
NJ
225700000X
Massage Therapist
027114-1
NY
Other
Enumeration date
01/27/2021
Last updated
11/12/2022
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