Healthcare Provider Details

I. General information

NPI: 1902737059
Provider Name (Legal Business Name): LEXI APPLEBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

171 INTREPID LN
SYRACUSE NY
13205-2548
US

IV. Provider business mailing address

210 W DIVISION ST APT 17
SYRACUSE NY
13204-1588
US

V. Phone/Fax

Practice location:
  • Phone: 315-437-4689
  • Fax:
Mailing address:
  • Phone: 315-515-7225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: