Individual
CHANG HUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
432 1ST, MINEOLA, NY 11501
(201) 213-3939
Mailing address
432 1ST ST, MINEOLA, NY 11501-3616
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
036145
NY
Other
Enumeration date
05/13/2015
Last updated
02/01/2020
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