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Contact Information

TRACIE S LEE, PHD
1400 PELHAM PARKWAY SOUTH
BUILDING 1, RM 146
BRONX, NY10461
 Phone: 718-918-3658
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TRACIE S LEE · (Female)

NPI # 1306653456
Status Active
Credentials PHD
Entity Individual
Enumeration date 12/12/2024
Last updated 12/12/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NY License # 026829
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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