Individual
MR. CALVIN KAILUN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(212) 305-0914
(212) 305-4343
Mailing address
622 W 168TH ST FL 14, NEW YORK, NY 10032-3720
(212) 305-0914
(212) 305-4343
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F305331
NY
Other
Enumeration date
11/05/2010
Last updated
04/26/2018
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