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NPI Code Detail

MEDICARE: JUN LEI MEDICAL PC

MEDICARE: JUN LEI MEDICAL PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician250716NY

General Provider Information

NPI Number : 1053642850
Entity Type Code : Organization
Provider Name (Legal Business Name) : JUN LEI MEDICAL PC
Provider Business Mailing Address
First Line : 39 E 20TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10003-1336
Country : US
Telephone Number : 347-421-3665
Fax Number :
Provider Business Practice Location Address
First Line : 39 E 20TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10003-1336
Country : US
Telephone Number : 347-421-3665
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. JUN LEI
Credential : M.D.
Telephone Number : 347-421-3665
Provider Enumeration Date : 01/19/2010
Last Update Date : 01/19/2010

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