Brian Lee
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Woodside, NY
NPI 1174065429 · NPPES record last updated Nov 16, 2016
Key facts
- NPI
- 1174065429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 6210 Woodside Ave Apt 211
Woodside, NY 11377-3681 - Phone
- (347) 307-5423
- NPI assigned
- Nov 16, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
6210 Woodside Ave Apt 211
Woodside, NY 11377-3681
Mailing address
6210 Woodside Ave Apt 211
Woodside, NY 11377-3681
Other providers in Woodside, NY
- Aaron Lauber
- Lazcano Procare Inc
- LCG Counseling Services, LCSW, P.C.
- Anh-Viet Pham Le
- Thu Le
- Buja Lee
- Clinton Lee
- Deanne H Lee
- Eun-Jung Linda Lee
- Grace Lee
All providers in Woodside, NY · Student in an Organized Health Care Education/Training Program in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.