Individual
WON JAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
21212 41ST AVE, BAYSIDE, NY 11361-2033
(714) 224-0844
(718) 224-6684
Mailing address
21212 41ST AVE, BAYSIDE, NY 11361-2033
(718) 224-0844
(718) 224-6684
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002470
NY
2255A2300X
Athletic Trainer
AT5415
TX
Other
Enumeration date
10/03/2012
Last updated
04/14/2014
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