Individual
MR. MAN SO LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
470 WOODDALE AVE, STATEN ISLAND, NY 10301
(718) 448-8833
Mailing address
470 WOODDALE AVE, STATEN ISLAND, NY 10301
(718) 448-8833
(718) 448-8833
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
60111727
NY
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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