Individual
MS. ELISA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 5TH AVE FL 11, NEW YORK, NY 10001-8017
(646) 818-9510
Mailing address
220 5TH AVE FL 11, NEW YORK, NY 10001-8017
(646) 818-9510
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0222501
NY
Other
Enumeration date
04/22/2016
Last updated
09/29/2021
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