Lee, Eun Jin

Lee, Eun Jin is an sole proprietor health care provider with primary practice located at 35 Longwood Rd , Middle Island NY 11953. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Lee, Eun Jin can be contacted via phone (631) 924-0008.

Contact Information

Primary practice address
35 Longwood Rd Middle Island NY 11953
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 1123830171 New York

Profile Details

NPI number 1679095632
LBN Legal business name Lee, Eun Jin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2017
Last updated Jul 5th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers