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Individual

DR. JEREMY JAMES LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C., A.T.C.

Contact information

Practice address
131 MAIN ST, GENESEO, NY 14454-1242
(585) 447-2775
(585) 286-3100
Mailing address
72 NORTH ST, GENESEO, NY 14454-1117
(585) 447-2775
(585) 286-3100

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
006-0001156
VT
111N00000X
Chiropractor
3263
SC
111N00000X
Chiropractor
Primary
X011060
NY
2255A2300X
Athletic Trainer
060102433
NY

Other

Enumeration date
11/03/2005
Last updated
07/28/2010
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