Lei, Nicole Elizabeth

Lei, Nicole Elizabeth is an individual health care provider with primary practice located at 3 Medical Dr Ste D , Port Jefferson Station NY 11776-1597. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Lei, Nicole Elizabeth can be contacted via phone (631) 928-7500.

Contact Information

Primary practice address
3 Medical Dr Ste D Port Jefferson Station NY 11776-1597
Phone: (631) 928-7500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X D62780-01 New York

Profile Details

NPI number 1659965317
LBN Legal business name Lei, Nicole Elizabeth
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2021
Last updated Aug 30th, 2023 - about 2 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.

Request for update

Popular Providers