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1609260686
VIDA LEE
BROOKLYN, NY
NPI
1609260686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 292382)
Enumeration Date
2015-03-27
Last Update Date
2018-10-23
Business Address
VIDA LEE
135 MONTAGUE ST
BROOKLYN, NY 11201-3504
Phone number: 646-346-7918
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Mailing Address
VIDA LEE
111 HICKS ST APT 7G
BROOKLYN, NY 11201-1639
Phone number:
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