Healthcare Provider Details

I. General information

NPI: 1689751745
Provider Name (Legal Business Name): CECILIA I YEE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 N BROADWAY
MASSAPEQUA NY
11758-2381
US

IV. Provider business mailing address

903 N BROADWAY
MASSAPEQUA NY
11758-2381
US

V. Phone/Fax

Practice location:
  • Phone: 516-799-5956
  • Fax: 516-799-9643
Mailing address:
  • Phone: 516-799-5956
  • Fax: 516-799-9643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX0007315
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: