Individual
FAYE MARYANN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
GIMC DEPARTMENT OF EMERGENCY MEDICINE, 516 NIZHONI BLVD, GALLUP, NM 87301
(714) 785-5263
Mailing address
164-B HUNTINGTON ST. APT A, BROOKLYN, NY 11231
(714) 785-5263
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
242956
NY
Other
Enumeration date
05/14/2007
Last updated
12/04/2007
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