Most Relevant Information
Provider Data
| NPI Number: | 1003546540 |
| Provider Name: | SEONJOONG LEE |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 040285 |
Most Important Dates
| Enumeration Date: | 06/16/2022 |
| Last Updated: | 11/28/2023 |
Provider Practice Location
13338 41ST RD STE CS8
FLUSHING
NY
113553662
Practice Location Phone/Fax
| Phone: | 2018153969 |
| Fax: |
Provider Mailing Location
75 MONTGOMERY ST APT 18C
NEW YORK
NY
100026551
Provider Mailing Phone/Fax
| Phone: | 2018153969 |
| Fax: |