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Individual

CHRISTOPHER JIN LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
210 E 64TH ST, NEW YORK, NY 10065-7471
(212) 838-9200
Mailing address
210 E 64TH ST, NEW YORK, NY 10065-7471
(212) 838-9200

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007855
NY
390200000X
Student in an Organized Health Care Education/Training Program
TUV007855
NY

Other

Enumeration date
06/29/2012
Last updated
07/23/2013
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