Won Jae Lee, ATC

Athletic Trainer · Bayside, NY

Individual Active NPI

NPI number 1700138575

Practice location

21212 41st Ave
Bayside, NY 11361-2033
Phone
(714) 224-0844
Fax
(718) 224-6684

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NPI record

NPI
1700138575
Entity type
Individual (Type 1)
Enumeration date
October 3, 2012
Last updated
April 14, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Athletic Trainer Primary 2255A2300X 002470 NY
Athletic Trainer 2255A2300X AT5415 TX

About Won Jae Lee

Won Jae Lee, ATC is a healthcare provider registered in the NPI registry with the primary taxonomy Athletic Trainer (code 2255A2300X). The practice location is 21212 41st Ave, Bayside, NY 11361-2033. The NPI number 1700138575 was assigned on October 3, 2012 and the record was last updated on April 14, 2014.

Won Jae Lee lists 2 licenses in the registry: #002470 (NY) for Athletic Trainer; #AT5415 (TX) for Athletic Trainer. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Won Jae Lee, ATC?

The NPI number is 1700138575.

What is the phone number of Won Jae Lee?

The phone number listed for the practice location is (714) 224-0844.

Where is Won Jae Lee located?

21212 41st Ave, Bayside, NY 11361-2033.

What is the taxonomy code for Won Jae Lee?

The primary taxonomy code is 2255A2300X – Athletic Trainer; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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