| Mr Jaekwan Lee, | |
|
16213 46th Ave Ste 3b, Flushing, NY 11358-3698 | |
| (929) 362-7708 | |
| Not Available |
| Full Name | Mr Jaekwan Lee |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 8 Years |
| Location | 16213 46th Ave Ste 3b, Flushing, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417512203 | NPI | - | NPPES |
| 1528671146 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 041462 (New York) | Primary |
| Provider Name | J Lee Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528671146 PECOS PAC ID: 0840606505 Enrollment ID: O20210304002080 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jaekwan Lee, 4362 162nd Street, 2nd Floor, Flushing, NY 11358 Ph: (929) 362-7708 | Mr Jaekwan Lee, 16213 46th Ave Ste 3b, Flushing, NY 11358-3698 Ph: (929) 362-7708 |
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