Individual
IVY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
191 CANAL ST, ROOM 603, NEW YORK, NY 10013-4524
(917) 981-9581
(212) 219-0148
Mailing address
PO BOX 130403, NEW YORK, NY 10013-0995
(917) 981-9581
(212) 219-0148
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010745
NY
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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