Individual
MR. JAE WOONG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC.
Contact information
Practice address
14327 ROOSEVELT AVE, FLUSHING, NY 11354-6139
(201) 921-3180
(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
005971-1
NY
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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