Individual
MS. SUSAN C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, DEPARTMENT OF RADIOLOGY AND IMAGING, NEW YORK, NY 10021-4823
(212) 606-1936
Mailing address
1161 YORK AVE, APT 11M, NEW YORK, NY 10065-7940
(908) 227-0176
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
282850
NY
390200000X
Student in an Organized Health Care Education/Training Program
0000000000
—
Other
Enumeration date
07/31/2011
Last updated
04/09/2021
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