Lee, Amanda
Lee, Amanda is an individual health care provider with primary practice located at 15 Horseblock Pl , Farmingville NY 11738-1204. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Lee, Amanda can be contacted via phone (631) 854-2554.Contact Information
Primary practice address
15 Horseblock Pl
Farmingville NY 11738-1204
Phone: (631) 854-2554
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1417476003 |
|---|---|
| LBN Legal business name | Lee, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2017 |
| Last updated | Sep 14th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417476003 | NPPES |
| New York | MEDICAID | 11600464 |
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