Individual
JEANETTE C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-2799
(631) 689-8333
Mailing address
287 IDLE HOUR BLVD, OAKDALE, NY 11769-1936
(516) 660-2799
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
431761
NY
Other
Enumeration date
07/06/2020
Last updated
11/01/2024
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