Provider Demographics
NPI:1962505115
Name:LEE, DANIEL PATRICK (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:PATRICK
Last Name:LEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:49 HILLCREST DR
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:ALFRED
Mailing Address - State:NY
Mailing Address - Zip Code:14802-1007
Mailing Address - Country:US
Mailing Address - Phone:607-247-4017
Mailing Address - Fax:607-247-4018
Practice Address - Street 1:49 HILLCREST DR
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:ALFRED
Practice Address - State:NY
Practice Address - Zip Code:14802-1007
Practice Address - Country:US
Practice Address - Phone:607-247-4017
Practice Address - Fax:607-247-4018
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010766111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor