| Mi S Lee, | |
|
19 Spring Hollow Rd, Old Tappan, NJ 07675-7471 | |
| (201) 750-8682 | |
| Not Available |
| Full Name | Mi S Lee |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 19 Spring Hollow Rd, Old Tappan, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831450337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00329200 (New Jersey) | Primary |
| Entity Name | Eickhoff Chiropractic Family Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538213533 PECOS PAC ID: 5294763280 Enrollment ID: O20050909000119 |
| Mailing Address | Practice Location Address |
|---|---|
| Mi S Lee, 19 Spring Hollow Rd, Old Tappan, NJ 07675-7471 Ph: (201) 750-8682 | Mi S Lee, 19 Spring Hollow Rd, Old Tappan, NJ 07675-7471 Ph: (201) 750-8682 |
Dr. Lisania Iris Milli, PHD, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 48 Bi State Plz # 506, Old Tappan, NJ 07675 Phone: 201-903-7048 Fax: 844-274-3413 | |
Drew Morgan Lebovich, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 148 Cedar Dr, Old Tappan, NJ 07675 Phone: 201-693-5961 | |
Ezinne Ezete, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 48 Bi State Plaza, Pmb 841, Old Tappan, NJ 07675 Phone: 860-758-6800 |