Individual
JIN KYUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST PH 5-505, NEW YORK, NY 10032-3720
(212) 305-6494
Mailing address
160 W 71ST ST APT 5G, NEW YORK, NY 10023-3908
(917) 945-5430
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
432999
NY
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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