Individual
DR. JUNG IK LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1139 ROXBURY DR, WESTBURY, NY 11590-5444
(718) 908-7627
Mailing address
1139 ROXBURY DR, WESTBURY, NY 11590-5444
(718) 908-7627
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052533
NY
Other
Enumeration date
01/28/2008
Last updated
01/28/2008
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