Individual
ELIZABETH LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2702 BROADWAY, NEW YORK, NY 10025-8701
(212) 304-7070
Mailing address
2702 BROADWAY, NEW YORK, NY 10025-8701
(212) 304-7070
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
306563
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2016
Last updated
02/13/2023
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