Individual provider · Type 1 NPI

Jong Ok Lee

Family Nurse Practitioner · Bronx, NY

NPI number 1396283479 Active

Practice location

2015 Grand Concourse
Bronx, NY 10453-4303

Fax (718) 299-6797

Mailing address

3198 Grand Concourse
Bronx, NY 10458-1000

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XF338688 (NY)

Family Nurse Practitioner: Definition to come...

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About NPI 1396283479

Jong Ok Lee's National Provider Identifier is 1396283479, issued on Feb 8, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bronx, NY. The record was last updated on Feb 16, 2017.