Individual
EUNJI LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 OLD COUNTRY RD, SUITE 460, MINEOLA, NY 11501-4293
(516) 663-2752
Mailing address
200 OLD COUNTRY RD STE 460, MINEOLA, NY 11501-4293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064365
NY
Other
Enumeration date
06/05/2023
Last updated
09/29/2025
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