Organization
DR. DONALD R LEE-EDWARDS PH.D, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R LEE-EDWARDS PH.D,LP (OWNER)
(347) 500-7785
Entity
Organization
Contact information
Practice address
255 GORDON ST, STATEN ISLAND, NY 10304-1943
(347) 500-7785
Mailing address
255 GORDON ST, STATEN ISLAND, NY 10304-1943
(347) 500-7785
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
4053692
NY
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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