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Individual

EDMUND WING-LAM LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 NICOLLS RD DEPT OF, STONY BROOK, NY 11794-3307
(631) 689-8333
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
317361
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/02/2015
Last updated
07/27/2022
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