Healthcare Provider Details

I. General information

NPI: 1841527975
Provider Name (Legal Business Name): MARIA ELENA YEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2009
Last Update Date: 04/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3415 BAINBRIDGE AVE
BRONX NY
10467
US

IV. Provider business mailing address

3415 BAINBRIDGE AVE
BRONX NY
10467-2403
US

V. Phone/Fax

Practice location:
  • Phone: 718-741-2450
  • Fax: 718-944-0463
Mailing address:
  • Phone: 718-741-2450
  • Fax: 718-944-0463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0216X
TaxonomyPediatric Rheumatology Physician
License Number249069
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: