Lee, Nellie
Lee, Nellie is an individual health care provider with primary practice located at 190 Euclid Ave , Ridgefield Park NJ 07660-1742. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Lee, Nellie can be contacted via phone (201) 440-3366.Contact Information
Primary practice address
190 Euclid Ave
Ridgefield Park NJ 07660-1742
Phone: (201) 440-3366
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 25MA02733100 | New Jersey |
Profile Details
| NPI number | 1104034107 |
|---|---|
| LBN Legal business name | Lee, Nellie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104034107 | NPPES |
| New Jersey | MEDICAID | 2998301 |
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