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Individual

MR. CHI KEI LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1803 MAHAN AVE, BRONX, NY 10461-4621
(917) 816-6423
Mailing address
2540 UNION ST, APT 2B, FLUSHING, NY 11354-1256
(917) 816-6423
(718) 359-3398

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
022283
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12118853
CAQH PROVIDER ID
01
A300019484
MEDICARE PTAN
Enumeration date
05/04/2006
Last updated
07/01/2010
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