Individual
HEE SEUNG HALEY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST, NEW YORK, NY 10032-3720
(203) 687-6528
Mailing address
545 MORRIS AVE UNIT 102, SUMMIT, NJ 07901-1325
(203) 687-6528
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
003114
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401267
NY
Other
Enumeration date
05/24/2006
Last updated
09/08/2020
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