MEDICARE: HERENIA 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
1	183500000X	Pharmacist	061435	NY

General Provider Information

NPI Number	:	1316308943
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HERENIA LEE

Provider Business Mailing Address
First Line	:	916 MAIN ST
Second Line	:
City	:	FARMINGDALE
State	:	NY
Zip	:	11735-5443
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	916 MAIN ST
Second Line	:
City	:	FARMINGDALE
State	:	NY
Zip	:	11735-5443
Country	:	US
Telephone Number	:	516-845-5235
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2016
Last Update Date	:	03/09/2016

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Directions to “ HERENIA LEE ” Practice Location

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