Healthcare Provider Details

I. General information

NPI: 1750457313
Provider Name (Legal Business Name): BENETTA YEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 02/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108-48 70TH ROAD
FOREST HILLS NY
11375
US

IV. Provider business mailing address

107-40 QUEENS BLVD APT 5B
FOREST HILLS NY
11375
US

V. Phone/Fax

Practice location:
  • Phone: 718-263-2072
  • Fax: 718-261-9082
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number205836
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: