Individual
DR. MARY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 UNION SQ E STE 3F, BIMC DEPT OF ALLERGY, NEW YORK, NY 10003-3314
(212) 420-4013
Mailing address
PO BOX 32886, HARTFORD, CT 06150
(212) 420-4013
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
177215
NY
207R00000X
Internal Medicine Physician
177215
NY
208000000X
Pediatrics Physician
177215
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01440904
—
NY
Enumeration date
11/09/2005
Last updated
10/04/2022
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