| Dr. Donald R Lee-edwards Ph.d, Lp | |
|
255 Gordon St Staten Island NY 10304-1943 | |
| (347) 500-7785 | |
| Not Available |
| Full Name | Dr. Donald R Lee-edwards Ph.d, Lp |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 255 Gordon St, Staten Island, New York |
| Authorized Official Name and Position | Donald R Lee-edwards (OWNER) |
| Authorized Official Contact | 3475007785 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Donald R Lee-edwards Ph.d, Lp 255 Gordon St Staten Island NY 10304-1943 Ph: (347) 500-7785 | Dr. Donald R Lee-edwards Ph.d, Lp 255 Gordon St Staten Island NY 10304-1943 Ph: (347) 500-7785 |
| NPI Number | 1710252127 |
|---|---|
| Provider Enumeration Date | 03/19/2012 |
| Last Update Date | 03/19/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710252127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 4053692 (New York) | Primary |
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