Individual
IN JIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
160 PEHLE AVE STE 100, SADDLE BROOK, NJ 07663-5227
(973) 771-3560
(973) 208-0851
Mailing address
143 BROADWAY, CRESSKILL, NJ 07626-2150
(551) 202-9120
(201) 492-5680
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00411200
NJ
363LA2200X
Adult Health Nurse Practitioner
306270
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
405458
NY
Other
Enumeration date
11/26/2012
Last updated
04/24/2026
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