Provider Demographics
NPI:1932386927
Name:LEE, JAMES S (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:S
Last Name:LEE
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:8915 PARSONS BLVD
Mailing Address - Street 2:SUITE 1G
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-6005
Mailing Address - Country:US
Mailing Address - Phone:347-960-7774
Mailing Address - Fax:347-960-8799
Practice Address - Street 1:8915 PARSONS BLVD
Practice Address - Street 2:SUITE 1G
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432-6005
Practice Address - Country:US
Practice Address - Phone:347-960-7774
Practice Address - Fax:347-960-8799
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-22
Last Update Date:2008-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GACHIR008311111N00000X
NY011525111N00000X
NJ38MC00668000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor