GONGJA KIM LEE
Pharmacy at Malcolm X Blvd, New York, NY

License number
New York 028711
Category
Pharmacy
Type
Oncology
Address
Address 2
506 Malcolm X Blvd, New York, NY 10037
153 12Th St, Cresskill, NJ 07626
Phone
(212) 939-8070
(201) 569-0258
National Provider ID: 1144379587
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Gongja Lee, age 80
153 12Th St, Cresskill, NJ 07626

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