Provider Demographics
NPI:1942975248
Name:LEE, YUN JEE (EDM, MA)
Entity type:Individual
Prefix:
First Name:YUN JEE
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:EDM, MA
Other - Prefix:
Other - First Name:JANICE
Other - Middle Name:
Other - Last Name:LEE MOSKOWITZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDM, MA
Mailing Address - Street 1:134 MORRIS ST APT 3B
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-4482
Mailing Address - Country:US
Mailing Address - Phone:929-240-3247
Mailing Address - Fax:
Practice Address - Street 1:39 W 32ND ST STE 1103-4
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3803
Practice Address - Country:US
Practice Address - Phone:917-410-1139
Practice Address - Fax:917-436-9799
Is Sole Proprietor?:No
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP102469101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health