Yi San Lee OD

NPI 1073878328 - Optometrist - 152W00000X

NPI Details
NPI 1073878328
Gender Female
Enumeration Date 07/11/2012
Last Updated 02/06/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
13620 38TH AVE STE 7G
FLUSHING NY, 11354-4232, US
Phone (718) 395-8080
Fax
Business Location
13620 38TH AVE STE 7G
FLUSHING NY, 11354-4232, US
Phone (718) 395-8080
Fax
Toxanomy
Taxonomy Code 152W00000X
License State New York
License Number TUV007839-1
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According to our database, Dr. Yi San Lee OD NPI is 1073878328, taxonomy code is 152W00000X and license number is TUV007839-1, license state is located at New York. Yi San Lee OD physically located at 13620 38th Ave Ste 7g, Flushing NY, 11354-4232. NPI Number Yi San Lee OD has the Individual type.

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1073878328 NPI number is provided on an as is basis without warranty of any kind. 1073878328 is maintained by the National Plan & Provider Enumeration System. The contents of Yi San Lee OD are for informational purposes only.