Individual provider · Type 1 NPI

Jaejung Lee

Psychiatric/Mental Health Nurse Practitioner · Brooklyn, NY

NPI number 1700339967 Active

Practice location

200 Tillary St
Brooklyn, NY 11201-3026

Call (718) 855-7485 Map

Fax (718) 855-1317

Mailing address

200 W 89th St, Apt. 3W
New York, NY 10024-1847

Other practice locations

  • 200 W 89th St, Apt. 3W, New York, NY 10024-1847 · (714) 331-7205

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XF402313 (NY)
Student in an Organized Health Care Education/Training Program 390200000X679880 (NY)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1700339967

Jaejung Lee's National Provider Identifier is 1700339967, issued on Jul 25, 2016. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 17, 2018.