Individual
EUN JIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35 LONGWOOD RD, MIDDLE ISLAND, NY 11953
(631) 924-0008
Mailing address
27 MEADOWBROOK LN, VALLEY STREAM, NY 11580-4007
(646) 620-1455
(516) 796-6341
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
1123830171
NY
Other
Enumeration date
07/12/2017
Last updated
07/05/2018
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