Lee, Clara Taeyoon
Lee, Clara Taeyoon is an individual health care provider with primary practice located at 82-68 164Th St N Building Room 633, Queens NY 11432. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Lee, Clara Taeyoon can be contacted via phone (718) 883-3000.Contact Information
Primary practice address
82-68 164Th St N Building Room 633
Queens NY 11432
Phone: (718) 883-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | NA | New York |
Profile Details
| NPI number | 1942761648 |
|---|---|
| LBN Legal business name | Lee, Clara Taeyoon |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2019 |
| Last updated | Apr 30th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942761648 | NPPES |
| Other | NA | NA |
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