Individual
EUNJUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2025 RICHMOND AVE, STATEN ISLAND, NY 10314-3937
(718) 477-0963
Mailing address
2025 RICHMOND AVE, STATEN ISLAND, NY 10314-3937
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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