Individual
BUJA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4703 47TH ST, WOODSIDE, NY 11377-6546
(347) 355-9718
Mailing address
4703 47TH ST, WOODSIDE, NY 11377-6546
(347) 355-9718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
665015
NY
Other
Enumeration date
03/27/2013
Last updated
03/27/2013
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