Individual
JONG M LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6020B 194TH ST APT 3B, FRESH MEADOWS, NY 11365
(917) 214-1632
Mailing address
6020B 194TH ST APT 3B, FRESH MEADOWS, NY 11365-2815
(917) 214-1632
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005811
NY
Other
Enumeration date
06/12/2017
Last updated
04/09/2019
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