Individual
AENA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 43RD AVE, SUNNYSIDE, NY 11104-1902
(718) 433-0941
Mailing address
4323 42ND ST APT D2, SUNNYSIDE, NY 11104-2836
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
059970
NY
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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