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NPI Code Detail

MEDICARE: JANET LEE

MEDICARE: JANET LEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse00287731NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194974386
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET LEE
Provider Business Mailing Address
First Line : 95 PINE STREET 17TH FLOOR
Second Line : ODYSSEY HOUSE, INC
City : NEW YORK
State : NY
Zip : 10005
Country : US
Telephone Number : 212-987-5133
Fax Number :
Provider Business Practice Location Address
First Line : 219 E 121ST ST
Second Line :
City : NEW YORK
State : NY
Zip : 10035-3018
Country : US
Telephone Number : 212-987-5133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2008
Last Update Date : 09/12/2008

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Directions to “ JANET LEE ” Practice Location

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