Individual
EUNSUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4014 203RD ST, BAYSIDE, NY 11361-1827
(347) 419-1869
Mailing address
4014 203RD ST, BAYSIDE, NY 11361-1827
(347) 419-1869
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
582995
NY
363LF0000X
Family Nurse Practitioner
Primary
F348665
NY
Other
Enumeration date
11/03/2021
Last updated
02/18/2022
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