Individual
JOHN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
601 ELMWOOD AVENUE BOX SON, ROCHESTER, NY 14642-0001
(585) 275-2375
Mailing address
601 ELMWOOD AVENUE BOX SON, ROCHESTER, NY 14642-0001
(516) 441-7725
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F404970
NY
Other
Enumeration date
06/23/2023
Last updated
07/29/2023
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