TYRA ALEXA LEE - NPI 1871349118 - Student in an Organized Health Care Education/Training Program in Middletown, NY

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Tyra Alexa Lee NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TYRA ALEXA LEE (NPI 1871349118) is an individual student in an organized health care education/training program in Middletown, New York and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1871349118

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTYRA ALEXA LEE

Location Address707 E MAIN STMiddletown, NY 10940-2650

Mailing Address707 E Main StMiddletown, NY 10940-2650

Phone(845) 333-7373

Fax(845) 333-7342

Sole ProprietorYes

Enumeration DateApril 26, 2024

NPPES CertifiedApril 26, 2024

✔ NPI 1871349118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

707 E MAIN ST, Middletown, NY 10940

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