Active NPIIndividual providerSole proprietor

Mr. Jae Woong Lee, LAC

Acupuncturist in Flushing, New York

NPI Number1548771504
Practice location
14327 Roosevelt Ave, Flushing, NY 11354-6139
Fax
201-921-3180
Last updated
October 17, 2017

Jae Woong Lee is an Acupuncturist based in Flushing, NY. Jae Woong Lee practices in Flushing, NY and has the professional credentials of LAC. The NPI Number for Jae Woong Lee is 1548771504 and holds a License No. 005971-1 (NY). The current practice location address for Jae Woong Lee is 14327 Roosevelt Ave, Flushing, NY 11354-6139 and can be reached out via phone at 201-921-3180 and via fax at 201-921-3180.

Provider Profile Details

NPI Number
1548771504
Provider Name
Jae Woong Lee
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
14327 Roosevelt Ave, Flushing, NY 11354-6139
Phone Number
201-921-3180
Fax Number
201-921-3180
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
Yes
Provider Enumeration Date
October 17, 2017
Last Update Date
October 17, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
14327 Roosevelt Ave
Flushing, NY 11354-6139
Zip
11354-6139
Phone Number
201-921-3180
Fax Number
201-921-3180
Flushing, NY 11354Get directions →

Provider Business Mailing Address Details

Address
1217 16TH St
Fort Lee, NJ 07024-1710
City
Fort Lee
State
NJ
Zip
07024-1710
Phone Number
201-921-3180

License Information

License Number
005971-1
License State
NY
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Jae Woong Lee, LAC?

The NPI number of Mr. Jae Woong Lee, LAC is 1548771504. It was assigned on October 17, 2017 and is currently active in the NPPES registry.

What is the specialty of Mr. Jae Woong Lee, LAC?

Mr. Jae Woong Lee, LAC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in NY under license number 005971-1.

Where does Mr. Jae Woong Lee, LAC practice?

The practice location is 14327 Roosevelt Ave, Flushing, NY 11354-6139. The office can be reached at 201-921-3180 (phone) or 201-921-3180 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548771504 directly on the NPPES registry website.

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