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Alex Lee

Student in an Organized Health Care Education/Training Program in Staten Island, NY. Individual provider (NPI-1).

NPI number1982307344
StatusActive
Last updated in NPPESMar 24, 2023

Details

NPI
1982307344
Entity type
Individual (NPI-1)
Name
Alex Lee
Sex
Male
Sole proprietor
No
Enumeration date
Mar 24, 2023
Certification date
Mar 24, 2023
Last updated
Mar 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

475 Seaview Ave
Staten Island, NY 10305-3436

Phone 718-226-8313

Mailing address

475 Seaview Ave
Staten Island, NY 10305-3436

Phone 718-226-8313

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