Individual
JING LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
600 COMMUNITY DR, MANHASSET, NY 11030-3802
(516) 562-0100
Mailing address
15052 58TH AVE, FLUSHING, NY 11355-5414
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431351
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
594187
RN LICENSE
NY
01
—
F431351
NP LICENSE
NY
Enumeration date
08/13/2018
Last updated
08/13/2018
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