Jong Dae Lee
Pharmacist
904 Prospect Ave, Bronx
New York, 10459-3929
718-991-6700 718-874-1378
Jong Dae Lee is a pharmacist in Bronx, New York. Patients can reach him at 904 Prospect Ave, Bronx or contact him on 718-991-6700. Active license number of Jong Dae Lee is 033021-1 for Pharmacist in New York.
Jong Dae Lee is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Complete Profile:
Jong Dae Lee speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for enquiries.
| Name: | Jong Dae Lee |
| Specialization: | Pharmacist |
| Gender: | Male |
| Location: | 904 Prospect Ave, Bronx,
New York, 10459-3929 |
| Phone: | 718-991-6700 |
| Fax: | 718-874-1378 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of Jong Dae Lee are as mentioned below.
| NPI Number: | 1043468218 |
| NPI Enumeration Date: | 29 Aug, 2008 |
| NPI Last Update On: | 28 Sep, 2011 |
Medical Licenses:
Pharmacists can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jong Dae Lee are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacist | 033021-1 | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jong Dae Lee such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 033021-1 | Other | New York | Ny License No. |
| 02664726 | Medicaid | New York | |
| 027296 | Other | New York | Pharmacy |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 330 4th St,
Palisades Park, New Jersey |
| Zip: | 07650-2221 |
| Phone Number: | 201-482-4603 |
| Fax Number: | 201-482-4603 |
Patients can reach Jong Dae Lee at
904 Prospect Ave, Bronx, New York or can
call on phone at 718-991-6700.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.