Provider Demographics
NPI:1972135481
Name:LEE, APRIL MARIE (NPP)
Entity type:Individual
Prefix:MS
First Name:APRIL
Middle Name:MARIE
Last Name:LEE
Suffix:
Gender:F
Credentials:NPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:55 NESCONSET HWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776
Mailing Address - Country:US
Mailing Address - Phone:631-474-8099
Mailing Address - Fax:888-506-5997
Practice Address - Street 1:55 NESCONSET HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776
Practice Address - Country:US
Practice Address - Phone:631-474-8099
Practice Address - Fax:888-506-5997
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-12
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY517402163W00000X
NY403161363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse