Individual
JAE MIN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
150 E 85TH ST, NEW YORK, NY 10028-2300
(917) 636-8442
Mailing address
150 E 85TH ST, NEW YORK, NY 10028-2300
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404471
NY
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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