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1144301789
JAESOO LEE
BROOKLYN, NY
NPI
1144301789
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207PP0204X Emergency Medicine, Pediatric Emergency Medicine
(Licence: NY 117614)
Enumeration Date
2006-10-18
Last Update Date
2007-07-08
Business Address
-- JAESOO LEE M.D.
760 BROADWAY
BROOKLYN, NY 11206-5317
Phone number: 718-963-8000
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Mailing Address
-- JAESOO LEE M.D.
60 LAUREL CT
SYOSSET, NY 11791-1903
Phone number: 516-692-3139
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