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Individual

CLINTON LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
41-52 63RD STREET, APT. 3A, WOODSIDE, NY 11377
(917) 816-6412
Mailing address
41-52 63RD STREET, APT. 3A, WOODSIDE, NY 11377

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
033291
NY

Other

Enumeration date
03/26/2012
Last updated
07/29/2013
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