Healthcare Provider Details
I. General information
NPI: 1326076613
Provider Name (Legal Business Name): WALTER YEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/28/2006
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
88-31 55TH AVENUE SUITE 201
ELMHURST NY
11373-4686
US
IV. Provider business mailing address
55 WATER ST FL 2
NEW YORK NY
10041-0010
US
V. Phone/Fax
- Phone: 718-899-6600
- Fax: 718-606-3881
- Phone: 646-680-2888
- Fax: 516-542-5556
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 150550 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: