Organization
LEE MORGENTALER DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN DIPAOLO (ADMINISTRATOR)
(914) 771-7335
Entity
Organization
Contact information
Practice address
80 OLD TAPPAN RD, TAPPAN, NY 10983-2401
(845) 398-2873
Mailing address
80 OLD TAPPAN RD, TAPPAN, NY 10983-2401
(845) 398-2873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209655
MEDICAL LICENSE
NY
Enumeration date
10/01/2018
Last updated
10/01/2018
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