Individual
MR. RICHARD LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25707 UNION TPKE, GLEN OAKS, NY 11004-1250
(718) 343-0070
Mailing address
25707 UNION TPKE, GLEN OAKS, NY 11004-1250
(718) 343-0070
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
242 030 229
NY
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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