Individual provider · Type 1 NPI

Annette Jiyoung Gaetan Lee, NP

Adult Health Nurse Practitioner · Glendale, NY

NPI number 1477424638 Active

Practice location

8314 Cooper Ave
Glendale, NY 11385-7722

Call (718) 428-1500 Map

Mailing address

PO Box 650099
Fresh Meadows, NY 11365-0099

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	312463 (NY)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1477424638

Annette Jiyoung Gaetan Lee, NP's National Provider Identifier is 1477424638, issued on Sep 12, 2025. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Glendale, NY. The record was last updated on Sep 12, 2025.