Provider Demographics
NPI:1467981944
Name:YOUNJEA LEE NP IN FAMILY HEALTH PC
Entity Type:Organization
Organization Name:YOUNJEA LEE NP IN FAMILY HEALTH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNJEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-834-1117
Mailing Address - Street 1:14908 41ST AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-1041
Mailing Address - Country:US
Mailing Address - Phone:718-675-9912
Mailing Address - Fax:
Practice Address - Street 1:14908 41ST AVE FL 2
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1041
Practice Address - Country:US
Practice Address - Phone:718-675-9912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF339225163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty