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1407598907
LEE BRAKE
NEW YORK, NY
NPI
1407598907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-13
Last Update Date
2022-04-13
Business Address
LEE BRAKE MD
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number: 860-941-7074
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Mailing Address
LEE BRAKE MD
525 E 68TH ST
NEW YORK, NY 10065-4870
Phone number:
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