Individual
JEFFREY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
60 READE ST, NEW YORK, NY 10007-1844
(212) 924-4920
Mailing address
15021 59TH AVE, FLUSHING, NY 11355-5426
(646) 512-1365
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002408-1
NY
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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