Individual
MICHELLE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 10TH AVE # 3A-08, NEW YORK, NY 10019-1147
(212) 259-6777
Mailing address
1000 10TH AVE FL 3, NEW YORK, NY 10019-1147
(212) 259-6777
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
306578
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2019
Last updated
08/07/2025
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