Healthcare Provider Details

I. General information

NPI: 1326032723
Provider Name (Legal Business Name): JACK POY YEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 09/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1985 CROMPOND RD BLDG A CAREMOUNT MEDICAL, PC
CORTLANDT MANOR NY
10567-4147
US

IV. Provider business mailing address

110 S BEDFORD RD CAREMOUNT MEDICAL, PC
MOUNT KISCO NY
10549-3446
US

V. Phone/Fax

Practice location:
  • Phone: 914-241-1050
  • Fax: 914-739-3385
Mailing address:
  • Phone: 914-241-1050
  • Fax: 914-739-3385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number143740
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: