Individual provider · Type 1 NPI

Ivy Lee, OTS

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

NPI number 1316676893 Active

Practice location

15111 21st Ave
Whitestone, NY 11357-3703

Call (347) 968-3868 Map

Mailing address

15111 21st Ave Apt Suite
Whitestone, NY 11357-3703

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 1316676893

Ivy Lee, OTS's National Provider Identifier is 1316676893, issued on Jun 8, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Whitestone, NY. The record was last updated on Jun 8, 2022.