Individual
DR. JENNIFER EUNJU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
525 E 68TH ST, BOX 124, NEW YORK, NY 10065-4870
(212) 746-2962
Mailing address
525 E 68TH ST, BOX 124, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
276590
NY
207L00000X
Anesthesiology Physician
A87890
CA
207L00000X
Anesthesiology Physician
MD60085893
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0251261
L&I
—
01
—
3698LE
BLUE CROSS BLUE SHIELD
—
Enumeration date
09/07/2006
Last updated
10/24/2014
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