Healthcare Provider Details

I. General information

NPI: 1730326836
Provider Name (Legal Business Name): ALBERT YEE DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2009
Last Update Date: 01/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 E 18TH ST
NEW YORK NY
10003-2416
US

IV. Provider business mailing address

130 E 18TH ST
NEW YORK NY
10003-2416
US

V. Phone/Fax

Practice location:
  • Phone: 212-254-5454
  • Fax: 212-614-3223
Mailing address:
  • Phone: 212-254-5454
  • Fax: 212-614-3223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number031816
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: