Lee, Holly

Lee, Holly is an individual health care provider with primary practice located at 13626 37Th Ave , Flushing NY 11354-6533. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lee, Holly can be contacted via phone (718) 886-1200.

Contact Information

Primary practice address
13626 37Th Ave Flushing NY 11354-6533
Fax: (718) 886-3901
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F332125 New York

Profile Details

NPI number 1609859750
LBN Legal business name Lee, Holly
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Jun 13th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609859750 NPPES
New York MEDICAID 02233549

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