Individual
ANNIE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
032585
NY
Other
Enumeration date
08/13/2024
Last updated
12/19/2024
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