Individual
JONGWAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6700 192ND ST APT 613, FRESH MEADOWS, NY 11365-3779
(917) 992-5999
Mailing address
6700 192ND ST APT 613, FRESH MEADOWS, NY 11365-3779
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007821
NY
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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