Lee, Eun Jung

Lee, Eun Jung is an individual health care provider with primary practice located at 15015 41St Ave , Flushing NY 11354-4917. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Lee, Eun Jung can be contacted via phone (718) 321-8522.

Contact Information

Primary practice address
15015 41St Ave Flushing NY 11354-4917
Phone: (718) 321-8522
Fax: (718) 321-8524
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 028421 New York

Profile Details

NPI number 1467712620
LBN Legal business name Lee, Eun Jung
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2012
Last updated May 22nd, 2012 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467712620 NPPES
New York Other 028421 LICENSE

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