Individual provider · Type 1 NPI

Estean Hanson Lenyoun Iv, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1144547175 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Call (212) 305-6081 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1144547175

Estean Hanson Lenyoun Iv, MD's National Provider Identifier is 1144547175, issued on Apr 30, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 30, 2010.