Provider Demographics
NPI:1225350507
Name:LEE, ESTHER NHAIN
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:NHAIN
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 OUTWATER LN STE 7
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-3800
Mailing Address - Country:US
Mailing Address - Phone:862-225-9422
Mailing Address - Fax:
Practice Address - Street 1:85 OUTWATER LN STE 7
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-3800
Practice Address - Country:US
Practice Address - Phone:862-225-9422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-27
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0539621183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist