Individual
JANE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3502 150TH PL, FLUSHING, NY 11354-4922
(347) 368-6691
Mailing address
13111 FOWLER AVE APT 4L, FLUSHING, NY 11355-4983
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
312487
NY
Other
Enumeration date
09/11/2025
Last updated
09/14/2025
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