Healthcare Provider Details

I. General information

NPI: 1336427814
Provider Name (Legal Business Name): SHARON YEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2011
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 LINWOOD PLZ
FORT LEE NJ
07024-3761
US

IV. Provider business mailing address

158 LINWOOD PLZ STE 319
FORT LEE NJ
07024-3798
US

V. Phone/Fax

Practice location:
  • Phone: 201-567-0404
  • Fax: 201-482-8856
Mailing address:
  • Phone: 201-567-0404
  • Fax: 201-482-8856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number274895
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number25MA09831600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: