Healthcare Provider Details

I. General information

NPI: 1740288570
Provider Name (Legal Business Name): SAU YAN YEE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 05/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 ENGLE ST
ENGLEWOOD NJ
07631-2465
US

IV. Provider business mailing address

PO BOX 127
WYCKOFF NJ
07481-0127
US

V. Phone/Fax

Practice location:
  • Phone: 201-569-9005
  • Fax:
Mailing address:
  • Phone: 201-569-9005
  • Fax: 201-569-9080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number25MA06734600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMA67346
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMA67346
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: