Individual
JAE SUN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
8 HILLCREST AVE, MANHASSET, NY 11030-2316
(516) 308-9119
Mailing address
2330 LINWOOD AVE, APT 4F, FORT LEE, NJ 07024-3862
(201) 210-9553
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005222-1
NY
Other
Enumeration date
01/06/2014
Last updated
03/18/2015
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