Individual
MR. CHU-LIN NELSON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
7814 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-6626
(718) 478-1135
Mailing address
50 BAYARD ST, APT. 3-O, NEW YORK, NY 10013-4903
(917) 439-3859
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
043639
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043639
PHARMACIST LICENSE NUMBER
NY
Enumeration date
02/23/2010
Last updated
02/23/2010
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