Healthcare Provider Details

I. General information

NPI: 1164492658
Provider Name (Legal Business Name): TOM C YEE DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 08/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CHATHAM SQ SUITE 401
NEW YORK NY
10038-1000
US

IV. Provider business mailing address

19 BONAVENTURE AVE
ARDSLEY NY
10502-2103
US

V. Phone/Fax

Practice location:
  • Phone: 212-571-9733
  • Fax: 212-571-9733
Mailing address:
  • Phone: 914-674-9257
  • Fax: 212-571-9733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX006904
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: