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NPI Code Detail

MEDICARE: DR. JIA LLON YEE M.D

MEDICARE: DR. JIA LLON YEE M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician312305NY

General Provider Information

NPI Number : 1578943502
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JIA LLON YEE M.D
Provider Business Mailing Address
First Line : 440 E MAIN ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-8501
Country : US
Telephone Number : 631-414-6999
Fax Number :
Provider Business Practice Location Address
First Line : 440 E MAIN ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-8501
Country : US
Telephone Number : 631-414-6999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2015
Last Update Date : 02/25/2022

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