Organization
OSTEOPATHIC MEDICINE AND REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAH LEE (PHYSICIAN)
(917) 204-8780
Entity
Organization
Contact information
Practice address
86 BOWERY, 3RD FLOOR, NEW YORK, NY 10013-4615
(917) 204-8780
Mailing address
17 ELIZABETH ST, SUITE 601, NEW YORK, NY 10013-4803
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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