Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | R84495 | NY |
NPI | 1043650385 |
---|---|
Provider Name | Quynh Lee |
First Address | Huntington, NY 11743-6918 |
Second Address | Huntington, NY 11743-6918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2013 |
Last Update Date | 31/01/2017 |