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NPI Code Detail

MEDICARE: JOONSUNG LEE PT

MEDICARE: JOONSUNG LEE PT
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
1171100000XAcupuncturist007520NY
2225100000XPhysical Therapist040863NY

General Provider Information

NPI Number : 1851931984
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOONSUNG LEE PT
Provider Business Mailing Address
First Line : 31 E 32ND ST RM 610
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5592
Country : US
Telephone Number : 917-683-2223
Fax Number : 646-858-0086
Provider Business Practice Location Address
First Line : 31 E 32ND ST RM 610
Second Line :
City : NEW YORK
State : NY
Zip : 10016-5592
Country : US
Telephone Number : 917-683-2223
Fax Number : 646-858-0086
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2020
Last Update Date : 02/07/2025

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Directions to “ JOONSUNG LEE PT” Practice Location

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