Search › New York › 171100000X
Jae Lee, LAC, LMT
NPI 1386067155 · on the registry since 2014 · sole proprietor
Practice
- Address
- 14748 Roosevelt Ave Apt 1f
Flushing, NY 11354 - Phone
- (407) 730-1128
- Organisation at this address
- Pure Dental, Pc
Ny Classic Car & Limo IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Also registered as
- 225700000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-10
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