Lee, Ji Yun

Lee, Ji Yun is an individual health care provider with primary practice located at 2 S Broadway , Yonkers NY 10701-3702. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Lee, Ji Yun can be contacted via phone (914) 476-6060.

Contact Information

Primary practice address
2 S Broadway Yonkers NY 10701-3702
Phone: (914) 476-6060
Fax: (914) 969-4108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 007800 New York

Profile Details

NPI number 1053357806
LBN Legal business name Lee, Ji Yun
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053357806 NPPES
New York MEDICAID 01017647

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