Jong Dae Lee
Jong Dae Lee is a Pharmacist in Bronx, New York. Licensed in New York. Registered with an NPI since 2008.
- Licensed in
- NY
- In the registry since
- 2008
Practice location Address checks out
904 Prospect AveBronx, NY 10459-3929
Phone: (718) 991-6700
Fax: (718) 874-1378
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 033021-1 (NY) |
|---|
Record details
| NPI number | 1043468218 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 29, 2008 |
| Last updated in NPPES | September 28, 2011 |
| Mailing address | 330 4th St, Palisades Park, NJ 07650-2221 |
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