Gwennette Sophia Lee

NPI #1477281731 in Elmont, New York

Provider Information

NPI Number
1477281731
Entity Type
Individual
Name
Gwennette Sophia Lee
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Aug 12, 2022
Last Updated
Aug 12, 2022

Practice Location

Address
49 HILL AVE
City
Elmont
ZIP Code
11003-2417
Phone
(718) 607-4306

Specialties & Taxonomy Codes

Specialty
Specialist

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