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Individual

ALYCIA LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CDN

Contact information

Practice address
128 E 83RD ST, NEW YORK, NY 10028-0812
(212) 535-9385
Mailing address
128 E 83RD ST, NEW YORK, NY 10028-0812
(212) 535-9385

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
001927
NY

Other

Enumeration date
04/17/2007
Last updated
04/15/2016
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