Individual
HEEOCK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
57 W 57TH ST STE 602, NEW YORK, NY 10019-2802
(646) 228-1069
(212) 308-2868
Mailing address
1623 3RD AVE, APT 40C, NEW YORK, NY 10128-3646
(646) 228-1069
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
003596-1
NY
363LA2200X
Adult Health Nurse Practitioner
F302436
NY
Other
Enumeration date
01/16/2008
Last updated
12/02/2020
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