Calvin Kailun Lee, NP
Nurse Practitioner, Adult Health in New York, NY. Individual provider (NPI-1).
NPI number1003117136
StatusActive
Last updated in NPPESApr 26, 2018
Details
- NPI
- 1003117136
- Entity type
- Individual (NPI-1)
- Name
- Mr. Calvin Kailun Lee
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 5, 2010
- Last updated
- Apr 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | F305331 | NY | Yes |
Practice location
622 W 168th StNew York, NY 10032-3720
Phone 212-305-0914 · Fax 212-305-4343
Mailing address
622 W 168th St Fl 14New York, NY 10032-3720
Phone 212-305-0914 · Fax 212-305-4343
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