Healthcare Provider Details

I. General information

NPI: 1972632669
Provider Name (Legal Business Name): WILLIAM YEE D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 BAYARD ST APT 4
NEW YORK NY
10013-4854
US

IV. Provider business mailing address

81 BAYARD ST APT 4
NEW YORK NY
10013-4854
US

V. Phone/Fax

Practice location:
  • Phone: 212-791-6733
  • Fax:
Mailing address:
  • Phone: 212-791-6733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX009363
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: