Individual
BONNIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
941 SOUTHERN BLVD, BRONX, NY 10459-3401
(718) 328-3220
Mailing address
10716 MURIEL CT, OZONE PARK, NY 11417-2623
(347) 247-4543
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
057004
NY
Other
Enumeration date
08/09/2012
Last updated
12/04/2012
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