Individual
DANIELLE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., DAOM
Contact information
Practice address
17 THROCKMORTON LN, OLD BRIDGE, NJ 08857-2548
(732) 679-1666
(732) 679-5599
Mailing address
2 BAY CLUB DR, APT 7W, BAYSIDE, NY 11360-2917
(646) 808-6170
(347) 836-8296
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
002796
NY
171100000X
Acupuncturist
Primary
25MZ00045700
NJ
Other
Enumeration date
03/02/2007
Last updated
11/19/2010
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