MEDICARE: MS. ALISON PIKE LEE LCSW

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	1041C0700X	Clinical Social Worker	082065-1	NY

General Provider Information

NPI Number	:	1497885057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALISON PIKE LEE LCSW

Provider Business Mailing Address
First Line	:	1775 GRAND CONCOURSE
Second Line	:	8TH FLOOR
City	:	BRONX
State	:	NY
Zip	:	10453-8202
Country	:	US
Telephone Number	:	212-665-1860
Fax Number	:

Provider Business Practice Location Address
First Line	:	1775 GRAND CONCOURSE FL 8
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10453-8202
Country	:	US
Telephone Number	:	212-665-1860
Fax Number	:

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

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	03/31/2016

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