Individual
ANDREW LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
315 S MANNING BLVD, ALBANY, NY 12208
(518) 525-1550
Mailing address
PO BOX 14890, ALBANY, NY 12212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
033116
NY
363A00000X
Physician Assistant
Primary
023706
NY
Other
Enumeration date
10/07/2010
Last updated
08/05/2019
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