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Individual

CHARISMA LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APN, AGNP-C

Contact information

Practice address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(212) 241-6756
Mailing address
1470 MADISON AVE, NEW YORK, NY 10029-6542
(212) 824-8858

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
308882
NY

Other

Enumeration date
01/16/2019
Last updated
09/21/2023
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