Individual
MICHAEL MOON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
19 W 21ST ST, NEW YORK, NY 10010-6805
(201) 951-1879
Mailing address
19 W 21ST ST, APT. 904, NEW YORK, NY 10010-6805
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
005034-1
NY
171100000X
Acupuncturist
Primary
25MZ00101000
NJ
Other
Enumeration date
12/06/2013
Last updated
02/25/2016
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