Individual
GLORIA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 WILLOUGHBY ST APT 14Q, BROOKLYN, NY 11201-4945
(626) 235-3108
Mailing address
101 NICOLLS RD RM 34, STONY BROOK, NY 11794-8101
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32657701
NY
2084P0800X
Psychiatry Physician
A195558
CA
Other
Enumeration date
03/27/2020
Last updated
06/28/2024
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