Individual
MS. BRIGITTE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 COMMISSARY RD, NEDROW, NY 13120-9771
(315) 877-7770
Mailing address
4300 COMMISSARY RD, NEDROW, NY 13120
(315) 877-7770
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
237290-1
NY
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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