Individual
ANNETTE JIYOUNG GAETAN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8314 COOPER AVE, GLENDALE, NY 11385-7722
(718) 428-1500
Mailing address
PO BOX 650099, FRESH MEADOWS, NY 11365-0099
(718) 428-1500
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
312463
NY
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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