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1437779329
SEONGJAE LEE
FLUSHING, NY
NPI
1437779329
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 040289-01)
Enumeration Date
2020-04-21
Last Update Date
2020-04-21
Business Address
SEONGJAE LEE
4115 158TH ST
FLUSHING, NY 11358-2505
Phone number: 929-465-2835
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Mailing Address
SEONGJAE LEE
4115 158TH ST
FLUSHING, NY 11358-2505
Phone number:
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