Individual
DR. MIRA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
40 RIVER RD, APT 10A, NEW YORK, NY 10044-1135
(917) 509-9657
(212) 371-0110
Mailing address
40 RIVER RD, APT 10A, NEW YORK, NY 10044-1135
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007011
NY
Other
Enumeration date
11/30/2007
Last updated
04/15/2009
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