| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | VANCE LEE MICHAEL | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | 00021263 | [sources] | |||
| NPI | 1538564737 | [sources] | |||
| Sector | Psychologist | [sources] | |||
| Status | not available | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
us-medny-5c0c3cd1006abd7ac5d363e553dd2f91718912ed · us-npi-1538564737For experts: raw data explorer
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