Healthcare Provider Details

I. General information

NPI: 1003725078
Provider Name (Legal Business Name): 385 SYLVAN SPINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 SYLVAN AVE STE 23
ENGLEWOOD CLIFFS NJ
07632-2722
US

IV. Provider business mailing address

385 SYLVAN AVE STE 23
ENGLEWOOD CLIFFS NJ
07632-2722
US

V. Phone/Fax

Practice location:
  • Phone: 201-835-5600
  • Fax:
Mailing address:
  • Phone: 201-835-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JUN HEE LEE
Title or Position: PRESIDENT
Credential: DC
Phone: 201-835-5600