Lee, Gina

Lee, Gina is an sole proprietor health care provider with primary practice located at 5836 254Th St , Little Neck NY 11362-2124. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Lee, Gina can be contacted via phone (917) 566-7645.

Contact Information

Primary practice address
5836 254Th St Little Neck NY 11362-2124
Phone: (917) 566-7645
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F402513-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F306733-1 New York

Profile Details

NPI number 1083037964
LBN Legal business name Lee, Gina
Credentials PMHNP-BC &ANP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2014
Last updated May 13th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083037964 NPPES
New York MEDICAID 04030104

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