Individual
CARSON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, NP
Contact information
Practice address
227 MADISON ST RM 1249, NEW YORK, NY 10002-7537
(212) 238-7444
Mailing address
227 MADISON ST RM 1249, NEW YORK, NY 10002-7537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
646172
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
307395
NY
Other
Enumeration date
08/04/2015
Last updated
07/05/2017
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