Individual
RACIEL LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
(845) 437-3138
Mailing address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
(845) 437-3138
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
F335867
NY
363LF0000X
Family Nurse Practitioner
335867
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03733722
—
NY
Enumeration date
08/30/2013
Last updated
09/24/2018
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