Individual
SUJINE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1468 MADISON AVE, NEW YORK, NY 10029-6508
(212) 241-6500
Mailing address
500 CENTRAL PARK AVE APT 133, SCARSDALE, NY 10583-1052
(914) 439-5582
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431836
NY
Other
Enumeration date
08/05/2020
Last updated
08/28/2020
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