Individual
EUGENE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1042 MITCHELL AVE # 42, BINGHAMTON, NY 13903-1678
(631) 624-7791
Mailing address
15 BROAD ST APT 6, JOHNSON CITY, NY 13790-2151
(631) 624-7791
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000025914
NY
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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