Individual
EUN KYOUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 PROSPECT AVE, EAST MEADOW, NY 11554-1902
(516) 972-6626
Mailing address
2110 PROSPECT AVE, EAST MEADOW, NY 11554-1902
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
719386
NY
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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