Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 152320 | NY |
NPI | 1174777411 |
---|---|
Provider Name | Franklin Lee |
First Address | Flushing, NY 11352-0112 |
Second Address | Flushing, NY 11354-6515 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/11/2008 |
Last Update Date | 13/11/2008 |