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Individual

DR. SUSAN H LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9525 QUEENS BLVD STE 1, REGO PARK, NY 11374-4511
(718) 975-5200
Mailing address
9525 QUEENS BLVD STE 1, REGO PARK, NY 11374-4511
(718) 975-5200

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
229649
NY
208600000X
Surgery Physician
Primary
229649
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02523095
NY
Enumeration date
05/16/2006
Last updated
07/21/2022
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