Individual
MIKYUNG L LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
103 W KINGSBRIDGE RD, BRONX, NY 10468-3902
(718) 584-9000
Mailing address
108 WINDING CRK, OLD TAPPAN, NJ 07675-7318
(201) 768-2232
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
040850
NY
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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