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Individual
SUSANNE Y LEE
Active
Individual
SUSANNE Y LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
172065
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01217963
—
NY
Enumeration date
02/14/2006
Last updated
01/08/2009
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