Individual
ANGELA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
320 E 94TH ST, NEW YORK, NY 10128-5604
(212) 423-2962
(212) 423-2920
Mailing address
320 E 94TH ST, NEW YORK, NY 10128-5604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004695
NY
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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