Individual
DR. TERESA M. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-6575
Mailing address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-6575
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
233925
NY
208000000X
Pediatrics Physician
233925
NY
2080P0202X
Pediatric Cardiology Physician
Primary
233925
NY
Other
Enumeration date
11/07/2006
Last updated
07/21/2022
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