| Sangeun Lee, Lcsw, Inc | |
|
443 Vernon Ave Staten Island Staten Island NY 10309-3044 | |
| (718) 650-0504 | |
| Not Available |
| Full Name | Sangeun Lee, Lcsw, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 443 Vernon Ave, Staten Island, New York |
| Authorized Official Name and Position | Sangeun Lee (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7186500504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sangeun Lee, Lcsw, Inc 530 Main Street Suite 207 Fort Lee NJ 07024 Ph: (718) 650-0504 | Sangeun Lee, Lcsw, Inc 443 Vernon Ave Staten Island Staten Island NY 10309-3044 Ph: (718) 650-0504 |
| NPI Number | 1497287981 |
|---|---|
| Provider Enumeration Date | 04/03/2017 |
| Last Update Date | 04/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497287981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 44SC05552100 (New Jersey) | Primary |
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