Individual
MEERAN KIM LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, ANP/GNP-BC
Contact information
Practice address
622 W 168TH ST PH 4, NEW YORK, NY 10032-3720
(212) 305-3273
(212) 305-6692
Mailing address
630 W 168TH ST # 4, NEW YORK, NY 10032-3725
(212) 305-3273
(212) 305-6692
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F306588-1
NY
363LG0600X
Gerontology Nurse Practitioner
F340921-1
NY
Other
Enumeration date
02/14/2014
Last updated
11/17/2017
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