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Individual

SUSAN JEAN LEE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
635 W 165TH ST, FLANZER SUITE, NEW YORK, NY 10032-3724
(212) 305-9535
(212) 342-5293
Mailing address
635 W 165TH ST, BOX 92, NEW YORK, NY 10032-3724
(212) 305-9451

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
238714
NY

Other

Enumeration date
05/22/2006
Last updated
07/08/2007
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