Individual
BRANDON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4897
(631) 654-7100
Mailing address
38 HUDSON ST, FARMINGDALE, NY 11735-3747
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
022637
NY
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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