Individual
ANDY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5401 8TH AVE, BROOKLYN, NY 11220-5168
(718) 686-8830
Mailing address
762 41ST ST APT 5A, BROOKLYN, NY 11232-4097
(347) 705-3872
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
068557
NY
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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