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Jaekwan Lee
NPI 1417512203 · on the registry since 2019 · sole proprietor
Practice
- Address
- 16213 46th Ave Ste 3b
Flushing, NY 11358 - Phone
- (929) 362-7708
Additional practice sites
- 4525 162nd St, Flushing, NY
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York