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Individual

GENEVIEVE LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAC

Contact information

Practice address
393 JERICHO TURNPIKE, SUITE 207, MINEOLA, NY 11501
(516) 742-0637
(516) 742-0318
Mailing address
393 JERICHO TURNPIKE, SUITE 207, MINEOLA, NY 11501
(516) 742-0637
(516) 742-0318

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0017391
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6685K
BCBS
NY
01
P2625664
OXFORD
NY
Enumeration date
11/01/2006
Last updated
07/08/2007
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