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1043397680
JOHN LEE
BRONX, NY
NPI
1043397680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 363AMO700X)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Mr. JOHN LEE PA
1276 FULTON AVE PSYCHIATRY - MMTP
BRONX, NY 10456-3402
Phone number: 718-503-7794
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Mailing Address
Mr. JOHN LEE PA
5836 FIELDSTON RD PRIVATE HOUSE
BRONX, NY 10471-2212
Phone number: 718-601-3192
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