Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 283705 | NY |
NPI | 1023452653 |
---|---|
Provider Name | Dr. Andrea Lee |
First Address | New York, NY 10021-4635 |
Second Address | New York, NY 10021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2013 |
Last Update Date | 24/08/2018 |