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Individual
DR. MARY LEE
Active
Individual
DR. MARY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
177215
NY
207R00000X
Internal Medicine Physician
177215
NY
208000000X
Pediatrics Physician
177215
NY
Other
Enumeration date
11/09/2005
Last updated
10/04/2022
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