Individual
HAE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
577 GRAND STREET, F804, NEW YORK, NY 10002-6612
(917) 428-0094
Mailing address
577 GRAND STREET, F804, NEW YORK, NY 10002-6612
(917) 428-0094
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
299297
NY
208D00000X
General Practice Physician
Primary
12286308-1204
UT
Other
Enumeration date
07/21/2016
Last updated
05/25/2021
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