Individual
MR. PEISUN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
21939 GRAND CENTRAL PKWY, QUEENS VILLAGE, NY 11427-1133
(718) 740-7265
Mailing address
21939 GRAND CENTRAL PKWY, QUEENS VILLAGE, NY 11427-1133
(718) 740-7265
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
24226
NY
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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