Most Relevant Information
Provider Data
| NPI Number: | 1003202250 |
| Provider Name: | YOON JUNG LEE |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 060181 |
Most Important Dates
| Enumeration Date: | 04/14/2015 |
| Last Updated: | 04/14/2015 |
Provider Practice Location
225 CROSSWAYS PARK DR
WOODBURY
NY
117972054
Practice Location Phone/Fax
| Phone: | 6313213850 |
| Fax: |
Provider Mailing Location
1821 BELL BLVD
BAYSIDE
NY
113601641
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |