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NPI Code Detail

MEDICARE: ALEXANDER LEE

MEDICARE: ALEXANDER 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
1183500000XPharmacist051392NY

General Provider Information

NPI Number : 1598990764
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDER LEE
Provider Business Mailing Address
First Line : 9117 37TH AVE
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-7919
Country : US
Telephone Number : 718-340-3658
Fax Number :
Provider Business Practice Location Address
First Line : 9114 37TH AVE
Second Line :
City : JACKSON HEIGHTS
State : NY
Zip : 11372-7920
Country : US
Telephone Number : 718-340-3658
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2009
Last Update Date : 11/30/2020

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Directions to “ ALEXANDER LEE ” Practice Location

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