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Dr. Huai Lee Phen, M.D

Family Medicine in Great Neck, NY. Individual provider (NPI-1).

NPI number1881956381
StatusActive
Last updated in NPPESDec 4, 2018

Details

NPI
1881956381
Entity type
Individual (NPI-1)
Name
Dr. Huai Lee Phen
Credential
M.D
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 11, 2012
Last updated
Dec 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine289578-1NYYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

46 Great Neck Rd
Great Neck, NY 11021-3305

Phone 165-253-2844

Mailing address

2225 E Evesham Rd
Suite 101
Voorhees, NJ 08043-1557

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