Individual
JENNIFER JOOYOUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
622 W 168TH ST, PH5-133, NEW YORK, NY 10032-3720
(212) 305-3226
(212) 305-3204
Mailing address
10 FOREST AVE, OLD TAPPAN, NJ 07675-7118
(201) 618-0880
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
300389
NY
Other
Enumeration date
03/31/2014
Last updated
12/23/2019
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