Individual
MRS. MICHELLE MARIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 BOWLING LN, DEER PARK, NY 11729-6724
(516) 949-6906
Mailing address
109 BOWLING LN, DEER PARK, NY 11729-6724
(516) 949-6906
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
452078
NY
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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