Individual
DANIEL D LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1069 ASTOR AVE, BRONX, NY 10469
(917) 974-9428
Mailing address
1069 ASTOR AVE, BRONX, NY 10469-4809
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
667119
NY
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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