Polikoff, Lee Alexander

Polikoff, Lee Alexander is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Polikoff, Lee Alexander can be contacted via phone (401) 444-4201.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 444-4201
Fax: (401) 444-5527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD15062 Rhode Island

Profile Details

NPI number 1720220007
LBN Legal business name Polikoff, Lee Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2009
Last updated Aug 24th, 2015 - about 10 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 1720220007 NPPES
Rhode Island Other MD15062 LICENSE

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