National Provider Identifier

Jared Lee

Jared Lee is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-9042.

NPI 1578182143Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1578182143
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 13, 2020
Last Updated
April 13, 2020

Practice Location

  • 601 Elmwood Ave # 668
  • Rochester, NY 14642-0001

Phone: (585) 275-9042

Mailing Address

  • 7025 Nw 104Th Ave
  • Tamarac, FL 33321-2256

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1578182143
Entity Type
Individual
Last Name
Lee
First Name
Jared
Mailing Street Address
7025 Nw 104Th Ave
Mailing City
Tamarac
Mailing State
FL
Mailing ZIP Code
33321-2256
Mailing Country
US
Mailing Phone
(954) 559-5202
Practice Street Address
601 Elmwood Ave # 668
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642-0001
Practice Country
US
Practice Phone
(585) 275-9042
Enumeration Date
April 13, 2020
Last Updated
April 13, 2020
Sex
Male
Sole Proprietor
No
Certification Date
April 13, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)