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Individual

EDDIE K LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
1685 NEWBRIDGE RD, NORTH BELLMORE, NY 11710-1603
(516) 826-0103
Mailing address
1685 NEWBRIDGE RD, NORTH BELLMORE, NY 11710-1603

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N006973
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0610-4067
NY
Enumeration date
03/28/2017
Last updated
01/19/2021
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