Individual
PATRICK LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-5970
(718) 334-5958
Mailing address
5715 157TH ST, FLUSHING, NY 11355-5518
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
015079
NY
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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