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NPI Code Detail

MEDICARE: MS. ALEXA S LESSOW MD

MEDICARE: MS. ALEXA S LESSOW MD
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
1207Y00000XOtolaryngology Physician219325NY

General Provider Information

NPI Number : 1770544009
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALEXA S LESSOW MD
Provider Business Mailing Address
First Line : 1049 5TH AVE
Second Line : SUITE 1A
City : NEW YORK
State : NY
Zip : 10028-0115
Country : US
Telephone Number : 212-861-1961
Fax Number : 212-861-0561
Provider Business Practice Location Address
First Line : 1049 5TH AVE
Second Line : SUITE 1A
City : NEW YORK
State : NY
Zip : 10028-0115
Country : US
Telephone Number : 212-861-1961
Fax Number : 212-861-0561
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 01/27/2020

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