Provider Demographics
NPI:1326363797
Name:LEE, ALEXANDRA M (PHARMD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:M
Last Name:LEE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 6TH AVE
Mailing Address - Street 2:APT 16J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-5419
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:990 6TH AVE
Practice Address - Street 2:APT 16J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-5419
Practice Address - Country:US
Practice Address - Phone:917-684-2883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY20 0533901835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology