Individual
BYOUNG IM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
636 BROOKLYN AVE APT 5J, BROOKLYN, NY 11203-1616
(347) 366-4295
Mailing address
636 BROOKLYN AVE APT 5J, BROOKLYN, NY 11203-1616
(347) 366-4295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
342393
NY
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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