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NPI Code Detail

MEDICARE: MR. DONGWOO LEE

MEDICARE:  MR. DONGWOO  LEE
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
1225200000XPhysical Therapy Assistant40QB00392400NJ

General Provider Information

NPI Number : 1881121200
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DONGWOO LEE
Provider Business Mailing Address
First Line : 464 HUDSON TER STE 203
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632-2917
Country : US
Telephone Number : 646-683-8255
Fax Number :
Provider Business Practice Location Address
First Line : 464 HUDSON TER STE 203
Second Line :
City : ENGLEWOOD CLIFFS
State : NJ
Zip : 07632-2917
Country : US
Telephone Number : 201-567-0005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2017
Last Update Date : 02/13/2026

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Directions to “ MR. DONGWOO LEE ” Practice Location

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