Eugene Lee
Counselor, Mental Health in Bronx, NY. Individual provider (NPI-1).
NPI number1649934589
StatusActive
Last updated in NPPESOct 27, 2021
Details
- NPI
- 1649934589
- Entity type
- Individual (NPI-1)
- Name
- Eugene Lee
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 27, 2021
- Certification date
- Oct 27, 2021
- Last updated
- Oct 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
579 Courtlandt AveBronx, NY 10451-5013
Phone 718-485-2100
Mailing address
417 W 120th St Apt 3xNew York, NY 10027-6042
Phone 213-929-9651
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