Individual
MS. SUSAN LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 AVENUE X, BROOKLYN, NY 11235-3531
(917) 446-9111
Mailing address
1709 AVENUE X, BROOKLYN, NY 11235-3531
(917) 446-9111
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
023046
NY
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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