Individual provider · Type 1 NPI
Lena Shally, MD
Student in an Organized Health Care Education/Training Program · New York, NY
NPI number
1689428955
Active
Practice location
5141 Broadway
New York, NY 10034-1159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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 1689428955
Lena Shally, MD's National Provider Identifier is 1689428955, issued on Apr 15, 2024. 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 15, 2024.