Organization
ELSA LEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA LEE (PSYCHOLOGIST)
(646) 238-9228
Entity
Organization
Contact information
Practice address
505 NORTHERN BLVD STE 205, GREAT NECK, NY 11021-5112
(646) 389-2283
Mailing address
505 NORTHERN BLVD STE 205, GREAT NECK, NY 11021-5112
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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