Individual
MR. DAVID JARED LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
93 FOREST AVE, GLEN COVE, NY 11542-2109
(516) 671-4908
Mailing address
93 FOREST AVE, GLEN COVE, NY 11542-2109
(516) 671-4908
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
045297
NY
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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