Individual
BUM KIL LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
65 BROADWAY STE 906, NEW YORK, NY 10006-2530
(212) 379-6414
Mailing address
1611 MAPLE ST APT 2, FORT LEE, NJ 07024-2519
(201) 543-1008
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006524
NY
Other
Enumeration date
05/20/2019
Last updated
05/20/2019
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