Individual
SUN JOO LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6839 INGRAM ST, FOREST HILLS, NY 11375-5725
(917) 623-4868
Mailing address
6839 INGRAM ST, FOREST HILLS, NY 11375-5725
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
1223141
NY
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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