Lee, Michelina M.

Lee, Michelina M. is an sole proprietor health care provider with primary practice located at 652 Asbury St , New Milford NJ 07646-2061. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Lee, Michelina M. can be contacted via phone (201) 314-8039.

Contact Information

Primary practice address
652 Asbury St New Milford NJ 07646-2061
Phone: (201) 314-8039
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC01441800 New Jersey

Profile Details

NPI number 1245375229
LBN Legal business name Lee, Michelina M.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jul 9th, 2007 - about 19 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 1245375229 NPPES
New Jersey MEDICAID 0039713

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