Organization
EUGENE LEE, DDS., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA DURAN (OFFICE MANG)
(516) 229-1441
Entity
Organization
Contact information
Practice address
636A WANTAGH AVE, LEVITTOWN, NY 11756-5325
(516) 450-5159
(516) 706-9288
Mailing address
636A WANTAGH AVE, LEVITTOWN, NY 11756-5325
(516) 450-5159
(516) 706-9288
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2405163
—
NY
Enumeration date
09/13/2018
Last updated
09/13/2018
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