Individual
DEBORA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
321 E ALBANY ST, HERKIMER, NY 13350-2016
(315) 867-2700
(315) 867-2825
Mailing address
321 E ALBANY ST, HERKIMER, NY 13350-2016
(315) 867-2700
(315) 867-2825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
221374-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02209781
—
NY
Enumeration date
10/24/2005
Last updated
11/26/2014
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