Individual
LILY BAE GREENLEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 BROADWAY STE 1505, NEW YORK, NY 10036-5521
(301) 821-0488
Mailing address
1501 BROADWAY STE 1505, NEW YORK, NY 10036-5521
(301) 821-0488
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/18/2024
Last updated
06/28/2024
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